[Early goal-directed therapy (EDGT) using continuous central venous oxygen saturation monitoring in a patient with septic shock].
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.
Oyama
Yoshimasa
Y
Department of Anesthesiology, Faculty of Medicine, Oita University, Oita 879-5593.
Goto
Koji
K
Yamamoto
Shunsuke
S
Kusaka
Jyunya
J
Hidaka
Seigo
S
Shingu
Chihiro
C
Noguchi
Takayuki
T
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
D010100:Oxygen