Acoplamiento ventrículo-arterial en choque séptico
Título del documento: Acoplamiento ventrículo-arterial en choque séptico
Revue: Revista de la Asociación Mexicana de Medicina Crítica y Terapia Intensiva
Base de datos: PERIÓDICA
Número de sistema: 000354433
ISSN: 0187-8433
Autores: 1
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Instituciones: 1Centro Médico ABC, Departamento de Medicina Crítica "Dr. Mario Shapiro", México, Distrito Federal. México
Año:
Periodo: Ene-Mar
Volumen: 26
Número: 1
Paginación: 26-35
País: México
Idioma: Español
Tipo de documento: Artículo
Enfoque: Experimental, aplicado
Resumen en inglés Septic shock is a major problem in health care, is the leading cause of death in patients admitted to the Intensive Care Unit. Ventricular-arterial coupling (VAC) is a way to assess the hemodynamics and myocardial efficiency of the circulatory system. The VAC has been associated with optimal improved survival in patients in shock. Objective: To analyze the behavior of the VAC and its association with mortality in patients with septic shock. Method: Patients diagnosed with septic shock and hemodynamic monitoring with pulmonary artery catheter admitted to the Department of Critical Care Medicine of the ABC Medical Center in January 2007 to December 2010. Results: There were 36 patients in the study. Admis- sion mortality of patients with VAC was 31% and 61% for those without coupling with an OR of 1.9. Mortality at 24 hours was 30% and 75% with and without VAC respec- tively, with an OR of 2.5, P  0.05. Conclusions: Patients who fail to optimize ventricular ar- terial coupling de fi ned as a ratio Ea/Ees  1 at 24 hours of treatment have double the mortality
Disciplinas: Medicina
Palabras clave: Terapéutica,
Choque séptico,
Resucitación,
Acoplamiento ventrículo arterial,
Cateterismo,
Arteria pulmonar
Keyword: Medicine,
Therapeutics,
Septic shock,
Resuscitation,
Ventricular-arterial coupling,
Catheterization,
Pulmonary artery
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