典型文献
The role of peripheral perfusion markers and lactate in septic shock resuscitation
文献摘要：
Septic shock leads to progressive hypoperfusion and tissue hypoxia. Unfortunately, numerous uncertainties exist around the best monitoring strategy, as available techniques are mere surrogates for these phenomena. Nevertheless, central venous oxygen saturation (ScvO
2), venous-to-arterial CO
2 gap, and lactate normalization have been fostered as resuscitation targets for septic shock. Moreover, recent evidence has challenged the central role of lactate. Following the ANDROMEDA-SHOCK trial, capillary refill time (CRT) has become a promissory target, considering the observed benefits in mortality, treatment intensity, and organ dysfunction. Interpretation of CRT within a multimodal approach may aid clinicians in guiding resuscitative interventions and stop resuscitation earlier, thus avoiding the risk of morbid fluid overload. Integrative assessment of a patient’s perfusion status can be easily performed using bedside clinical tools. Based on its fast kinetics and recent supporting evidence, targeting CRT (within a holistic assessment of perfusion) may improve outcomes in septic shock resuscitation.
文献关键词：
Septic shock;Lactate;Capillary refill time
中图分类号：
作者姓名：
Kattan Eduardo;Hernández Glenn
作者机构：
Departamento de Medicina Intensiva, Facultad de Medicina, Pontificia Universidad de Chile, Santiago 7500000, Chile
文献出处：
引用格式：
[1]Kattan Eduardo;Hernández Glenn-.The role of peripheral perfusion markers and lactate in septic shock resuscitation)[J].重症医学（英文）,2022(01):17-21
A类：
ANDROMEDA,promissory
B类：
role,peripheral,markers,lactate,septic,shock,resuscitation,Septic,leads,progressive,hypoperfusion,tissue,hypoxia,Unfortunately,numerous,uncertainties,exist,around,best,monitoring,strategy,available,techniques,are,mere,surrogates,these,phenomena,Nevertheless,central,venous,oxygen,saturation,ScvO
,arterial,CO
,gap,normalization,have,been,fostered,targets,Moreover,recent,evidence,has,challenged,Following,SHOCK,trial,capillary,refill,CRT,become,considering,observed,benefits,mortality,treatment,intensity,organ,dysfunction,Interpretation,within,multimodal,approach,may,aid,clinicians,guiding,resuscitative,interventions,stop,earlier,thus,avoiding,risk,morbid,fluid,overload,Integrative,assessment,patient,status,can,easily,performed,using,bedside,clinical,tools,Based,fast,kinetics,supporting,targeting,holistic,improve,outcomes,Lactate,Capillary
AB值：
0.687581
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