title: [Early goal-directed therapy (EDGT) using continuous central venous oxygen saturation monitoring in a patient with septic shock].
abstract: Septic shock is an adverse clinical condition resulting in multiple organ failure from global tissue hypoxia. The importance of initial treatment is widely recognized. Thus, guidelines for septic shock recommend early goal-directed therapy (EGDT) during the first six hours of treatment. Central venous oxygen saturation monitoring is useful to maintain adequate tissue oxygen delivery. A newly developed central venous oximetry catheter (PreSep Oximetery Catheter, Edwards Lifesciences) allows continuous and easy monitoring of central venous oxygen saturation. This report shows the usefulness of this catheter in a patient who developed septic shock during an emergency operation for perforated bowel. By using EGDT perioperatively with continuous central venous oximetry, multiple organ failure might be successfully avoided.
authors.affiliation: Department of Anesthesiology, Faculty of Medicine, Oita University, Oita 879-5593.
authors.forename: Yoshimasa
authors.initials: Y
authors.lastname: Oyama
authors.forename: Koji
authors.initials: K
authors.lastname: Goto
authors.forename: Shunsuke
authors.initials: S
authors.lastname: Yamamoto
authors.forename: Jyunya
authors.initials: J
authors.lastname: Kusaka
authors.forename: Seigo
authors.initials: S
authors.lastname: Hidaka
authors.forename: Chihiro
authors.initials: C
authors.lastname: Shingu
authors.forename: Takayuki
authors.initials: T
authors.lastname: Noguchi
mesh_terms: D000368:Aged; D002405:Catheterization, Central Venous; D012809:Colon, Sigmoid / Q000601:surgery; D004630:Emergencies; D006801:Humans; D007416:Intestinal Perforation / Q000150:complications / Q000601:surgery; D007430:Intraoperative Care; D007431:Intraoperative Complications / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D008297:Male; D016343:Monitoring, Intraoperative / Q000379:methods*; D009102:Multiple Organ Failure / Q000517:prevention & control; D010092:Oximetry / Q000379:methods*; D010100:Oxygen / Q000097:blood*; D012772:Shock, Septic / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D016896:Treatment Outcome; D014680:Veins
chemical_list: D010100:Oxygen