[Hemodynamic study in meningococcal septic shock].
We analyzed 8 cases of meningococcal septic shock diagnosed in a three year period. The age varied from 20 months to 10 years (mean: 4.8 years). Two patients died. Every child was monitored with a Swan-Ganz catheter 5 F or 7F, placed on by puncture of internal jugular or subclavicular veins. Of this hemodynamic study, we can conclude that in septic shock, there is a myocardial depression, that persist for several days, and improves with dopamine and dobutamine. In addition to this, in sepsis exists a pulmonary hypertension that makes worse the prognosis.
Mar Molinero
F
F
Departamento de Pediatría, Hospital 12 de Octubre, Madrid.
Flores Antón
B
B
Espino Hernández
M
M
Medina Monzón
C
C
Garrido Borreguero
E
E
Sánchez Díaz
I
I
Melian Machin
A
A
D002648:Child; D002675:Child, Preschool; D005260:Female; D006439:Hemodynamics; D006801:Humans; D007223:Infant; D008297:Male; D008589:Meningococcal Infections; D008991:Monitoring, Physiologic; D009200:Myocardial Contraction; D012772:Shock, Septic / Q000382:microbiology / Q000503:physiopathology*
Estudio hemodinámico en el shock séptico meningocócico.