Supra-normal values in resuscitation
Main Article Content
Resuscitation in severe traumatic hemorrhagic shock, septic patients, and products of major surgery must reach supranormal values within the first 12 hours after the injury event. lf this goal is accomplished, oxygen debt (resulting from the shock period and flow redistribution) will be rapidly paid. If it is not, organ dysfunction and mortality shall considerably increase. Traditional resuscitation has always looked to reestablish vital signs to normal values as soon as possible. On the other hand, aggressive resuscitation aims to obtain earlier and lofty supra-normal values related to circulatory parameters, oxygen transportation, and consumption, as well as pay the oxygen debt and reduce metabolic acidemia. These differences between both approaches are evaluated, and their results are shown in the present paper.
- reanimación
- órganos
- mortalidad
- oxígeno
Shoemaker, WC, Appel, PL & Kram, HB. Role of oxygen debt in the development of organ failure, sepsis, and death in high-risk surgical patients. Chest, 1992,102: 206-215. DOI: https://doi.org/10.1378/chest.102.1.208
Shoemaker, WC, A new approach to physiology, monitoring, and therapy of shock states. World J Surg, 1987,11: 133-146. DOI: https://doi.org/10.1007/BF01656395
Vincent,JL&vanderLinden,P.Septic shock: a particular type of acute circulatory failure. Crit Care Med, 1990,18: s70-s74. DOI: https://doi.org/10.1097/00003246-199001002-00013
Fiddian-Green, RG, Haglund, U, Gutiérrez, G & Shoemaker, WC. The goal for the resuscitation of shock. Crit Care Med, 1993, 21: s25-s31. DOI: https://doi.org/10.1097/00003246-199302001-00006
Astiz, ME, Rackow, EC & Weil, MH. Pathophysiology and treatment of circulatory shock. Crit Care Clin, 1993, 9: 183-203. DOI: https://doi.org/10.1016/S0749-0704(18)30192-1
Cruz, LE. La respuesta orgánica al estrés en la práctica clínica. Rev Col Cir, 1993, 8: 122-128.
Ordóñez, CA & Buitrago, R. Interpretación clínica de los gases sanguíneos. ColombiaMed, 1993, 24: 98-104.
Ordóñez, CA, Cómo producen energía las células. Colombia Med, 1994, 25: 61-65. DOI: https://doi.org/10.25100/cm.v25i.2.1787
Moore, FA, Haenel, JB, Moore, EE & Whitehill, TA. Incommensurate oxygen consumption in response to maximal oxygen availability predicts postinjury multiple organ failure. J Trauma, 1992, 33: 58-67. DOI: https://doi.org/10.1097/00005373-199207000-00012
O. American Medica! Association. JAMA, 1992, 268: 2172-2298. DOI: https://doi.org/10.1001/jama.1992.03490160042024
Fleming, A, Bishop, M, Shoemaker, WC et al. Prospective trial of supranormal values as a goal of resuscitation in severe trauma. Arch Surg, 1992, 127: 1175-1181. DOI: https://doi.org/10.1001/archsurg.1992.01420100033006
Ordóñez, CA. Interpretación clínica de las variables hemodinámicas. Colombia Med, 1993, 24: 152-157.
Shoemaker, WC, Appel, PL & Kram, HB, Hemodynamic and oxygen transport responses in survivors and nonsurvivors of high-risk surgery. Crit Care Med, 1993, 21: 977-990. DOI: https://doi.org/10.1097/00003246-199307000-00010
Bishop, MH, Shoemaker, WC, Appel, PL et al. Relationship between supranormal circulatory values, time delays, and outcome in severely traumatized patients. Crit Care Med, 1993, 21: 56-63. DOI: https://doi.org/10.1097/00003246-199301000-00013
Dantzer, DR, Oxygen delivery and utilization of sepsis. Crit Care Clin, 1989, 5: 81-98. DOI: https://doi.org/10.1016/S0749-0704(18)30451-2
Astiz, ME, Rackow, EC & Falk, JL. Oxygen delivery and consumption in patients with hyperdynamic septic shock. Crit Care Med, 1987, 15: 26-28. DOI: https://doi.org/10.1097/00003246-198701000-00005
Shoemaker, WC & Sansel, RW. Oxygen delivery and uptake by peripheral tissues: physiology and pathophysiology. Crit Care Clin, 1989, 5: 255-269. DOI: https://doi.org/10.1016/S0749-0704(18)30435-4
Mizock, BA & Falk, FJ. Lactic acidosis in critical illness. Crit Care Med, 1992, 20: 80-92. DOI: https://doi.org/10.1097/00003246-199201000-00020
Shoemaker, WC, Kram, HB & Appel, PL. Therapy of shock based on pathophysiology, monitoring, and outcome prediction. Crit Care Med, 1990, 18: s19-s24. DOI: https://doi.org/10.1097/00003246-199001002-00004
Shoemaker, WC, Appel, PL, Kram, HB, Bishop, MH & Abraham, E. Sequence of physiology patterns in surgical septic shock. Crit Care Med, 1993, 21: 1876-1889. DOI: https://doi.org/10.1097/00003246-199312000-00015
Dunham CM, Siegel, JH, Weirreter, L et al. Oxygen debt and metabolic acidemia as quantitative predictors of mortality and the severity of ischemic insult in hemorrhagic shock. Crit Care Med, 1991, 19: 231-243. DOI: https://doi.org/10.1097/00003246-199102000-00020
Falk, JL, O'Brien, JF & Kerr, R. Fluid resuscitation in traumatic hemorrhagic shock. Crit Crare Clin, 1992, 8: 323-353. DOI: https://doi.org/10.1016/S0749-0704(18)30253-7
Nacht, A. Toe use of blood products in shock. Crit Care Clin, 1992, 8: 255-291. DOI: https://doi.org/10.1016/S0749-0704(18)30250-1
Downloads
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
The copy rights of the articles published in Colombia Médica belong to the Universidad del Valle. The contents of the articles that appear in the Journal are exclusively the responsibility of the authors and do not necessarily reflect the opinions of the Editorial Committee of the Journal. It is allowed to reproduce the material published in Colombia Médica without prior authorization for non-commercial use