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Approach of minimal invasive monitoring and initial treatment of the septic patient in emergency medicine

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dc.creatorDevia Jaramillo, Germanspa
dc.creatorCastro Canoa, Jennyspa
dc.creatorValverde Galván, Emirospa
dc.date.accessioned2020-05-25T23:57:42Z
dc.date.available2020-05-25T23:57:42Z
dc.date.created2018spa
dc.description.abstractSepsis and septic shock constitute a complex disease condition that requires the engagement of several medical specialties. A great number of patients with this disease are constantly admitted to the emergency department, which warrants the need for emergency physicians to lead in the recognition and early management of septic patients. Timely and appropriate interventions may help reduce mortality in a disease with an unacceptably high mortality rate. Poor control of cellular hypoperfusion is one of the most influential mechanisms contributing to the high mortality rate in these patients. This article aims to make an evidence-based approach and an algorithm for the active identification of hypoperfusion in patients with suspicion of severe infection, based on both clinical variables (capillary refill, mottling index, left ventricular function by ultrasound, temperature gradient, etc.) and laboratory-measured variables (lactate, central venous oxygen saturation [ScvO2], and venous-to-arterial carbon dioxide tension difference [P (v?a) CO2]). Such variables are feasible to use in the emergency department and would help to explain the cause behind the inadequate oxygen use by cells, thereby guiding treatment at the macrovascular, microvascular, or cellular level. © 2018 Devia Jaramillo et al.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.2147/OAEM.S177349
dc.identifier.issn11791500
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/22727
dc.language.isoengspa
dc.publisherDove Medical Press Ltdspa
dc.relation.citationEndPage191
dc.relation.citationStartPage183
dc.relation.citationTitleOpen Access Emergency Medicine
dc.relation.citationVolumeVol. 10
dc.relation.ispartofOpen Access Emergency Medicine, ISSN:11791500, Vol.10,(2018); pp. 183-191spa
dc.relation.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85064847277&doi=10.2147%2fOAEM.S177349&partnerID=40&md5=65914d82f57f866907ca03f70ccf142bspa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto Completo)spa
dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subject.keywordAngiopoietin 1spa
dc.subject.keywordAngiopoietin 2spa
dc.subject.keywordLactic acidspa
dc.subject.keywordProadrenomedullinspa
dc.subject.keywordProcalcitoninspa
dc.subject.keywordApachespa
dc.subject.keywordCarbon dioxide tensionspa
dc.subject.keywordCase studyspa
dc.subject.keywordEmergency medicinespa
dc.subject.keywordEmergency physicianspa
dc.subject.keywordEmergency wardspa
dc.subject.keywordFeasibility studyspa
dc.subject.keywordHumanspa
dc.subject.keywordIntervention studyspa
dc.subject.keywordMortalityspa
dc.subject.keywordNear infrared spectroscopyspa
dc.subject.keywordOxygen saturationspa
dc.subject.keywordPatient carespa
dc.subject.keywordPatient monitoringspa
dc.subject.keywordPerfusionspa
dc.subject.keywordPrognosisspa
dc.subject.keywordReviewspa
dc.subject.keywordRisk factorspa
dc.subject.keywordSepsisspa
dc.subject.keywordSequential organ failure assessment scorespa
dc.subject.keywordSystemic inflammatory response syndromespa
dc.subject.keywordCellular perfusionspa
dc.subject.keywordEmergency medicinespa
dc.subject.keywordMicrocirculationspa
dc.subject.keywordSepsisspa
dc.subject.keywordSeptic shockspa
dc.titleApproach of minimal invasive monitoring and initial treatment of the septic patient in emergency medicinespa
dc.typearticleeng
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersion
dc.type.spaArtículospa
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