[Suprahepatic vein catheterization in 4 cases of severe septic shock].
Splanchnic hypoperfusion, with pathogenic implications for multiple organ failure, can occur during septic shock. We report four patients with septic shock in whom regional hepatosplenic splanchnic perfusion was monitored through suprahepatic vein catheterization and gastric tonometry. Suprahepatic lactate and oxygen saturation showed splanchnic hypoperfusion in all patients. These parameters improved only in the patient that survived. Gastric tonometry was more inconsistent. We conclude that suprahepatic vein catheterization could have a role in the management of septic shock.
Inzunza
C
C
Unidad de Tratamiento Intensivo Quirúrgico, Hospital Clínico Pontificia Universidad Católica de Chile.
Cornu
M
M
Bruhn
A
A
Castillo
L
L
Bugedo
G
G
Acuña
D
D
Medeiros
S
S
Hernández
G
G
D000328:Adult; D000368:Aged; D002406:Catheterization, Peripheral / Q000379:methods*; D003422:Critical Care / Q000379:methods*; D004280:Dobutamine / Q000008:administration & dosage; D017809:Fatal Outcome; D005260:Female; D005500:Follow-Up Studies; D006439:Hemodynamics; D006503:Hepatic Veins; D006801:Humans; D008297:Male; D008875:Middle Aged; D009102:Multiple Organ Failure / Q000503:physiopathology; D010101:Oxygen Consumption / Q000187:drug effects; D012772:Shock, Septic / Q000188:drug therapy / Q000503:physiopathology*; D013152:Splanchnic Circulation / Q000187:drug effects; D014665:Vasodilator Agents / Q000008:administration & dosage
D014665:Vasodilator Agents; D004280:Dobutamine