Approach of minimal invasive monitoring and initial treatment of the septic patient in emergency medicine
Sepsis 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 an...
- Autores:
- Tipo de recurso:
- Fecha de publicación:
- 2018
- Institución:
- Universidad del Rosario
- Repositorio:
- Repositorio EdocUR - U. Rosario
- Idioma:
- eng
- OAI Identifier:
- oai:repository.urosario.edu.co:10336/22727
- Acceso en línea:
- https://doi.org/10.2147/OAEM.S177349
https://repository.urosario.edu.co/handle/10336/22727
- Palabra clave:
- Angiopoietin 1
Angiopoietin 2
Lactic acid
Proadrenomedullin
Procalcitonin
Apache
Carbon dioxide tension
Case study
Emergency medicine
Emergency physician
Emergency ward
Feasibility study
Human
Intervention study
Mortality
Near infrared spectroscopy
Oxygen saturation
Patient care
Patient monitoring
Perfusion
Prognosis
Review
Risk factor
Sepsis
Sequential organ failure assessment score
Systemic inflammatory response syndrome
Cellular perfusion
Emergency medicine
Microcirculation
Sepsis
Septic shock
- Rights
- License
- Abierto (Texto Completo)
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5947862e-e725-4ac8-af86-552347ac5cae-1ccd518e0-785a-4410-bc73-4967986d5d75-1cfa43ca8-4313-48e0-b39c-a667bc27940d-12020-05-25T23:57:42Z2020-05-25T23:57:42Z2018Sepsis 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.application/pdfhttps://doi.org/10.2147/OAEM.S17734911791500https://repository.urosario.edu.co/handle/10336/22727engDove Medical Press Ltd191183Open Access Emergency MedicineVol. 10Open Access Emergency Medicine, ISSN:11791500, Vol.10,(2018); pp. 183-191https://www.scopus.com/inward/record.uri?eid=2-s2.0-85064847277&doi=10.2147%2fOAEM.S177349&partnerID=40&md5=65914d82f57f866907ca03f70ccf142bAbierto (Texto Completo)http://purl.org/coar/access_right/c_abf2instname:Universidad del Rosarioreponame:Repositorio Institucional EdocURAngiopoietin 1Angiopoietin 2Lactic acidProadrenomedullinProcalcitoninApacheCarbon dioxide tensionCase studyEmergency medicineEmergency physicianEmergency wardFeasibility studyHumanIntervention studyMortalityNear infrared spectroscopyOxygen saturationPatient carePatient monitoringPerfusionPrognosisReviewRisk factorSepsisSequential organ failure assessment scoreSystemic inflammatory response syndromeCellular perfusionEmergency medicineMicrocirculationSepsisSeptic shockApproach of minimal invasive monitoring and initial treatment of the septic patient in emergency medicinearticleArtículohttp://purl.org/coar/version/c_970fb48d4fbd8a85http://purl.org/coar/resource_type/c_6501Devia Jaramillo, GermanCastro Canoa, JennyValverde Galván, EmiroORIGINALoaem-177349-approach-of-minimal-invasive-monitoring-and-initial-treatmen-111918.pdfapplication/pdf194052https://repository.urosario.edu.co/bitstreams/47946e0f-8d92-43d9-9952-b5eb3ccf7157/download1f68a6f39ff485c6c3dfd8685fc50a6dMD51TEXToaem-177349-approach-of-minimal-invasive-monitoring-and-initial-treatmen-111918.pdf.txtoaem-177349-approach-of-minimal-invasive-monitoring-and-initial-treatmen-111918.pdf.txtExtracted texttext/plain49096https://repository.urosario.edu.co/bitstreams/b46315f6-772b-43ab-b675-9e8754851495/download678dddf34c33e0924b0254818454f02aMD52THUMBNAILoaem-177349-approach-of-minimal-invasive-monitoring-and-initial-treatmen-111918.pdf.jpgoaem-177349-approach-of-minimal-invasive-monitoring-and-initial-treatmen-111918.pdf.jpgGenerated Thumbnailimage/jpeg4149https://repository.urosario.edu.co/bitstreams/7fd7f89f-1ea2-4951-8d7d-4a46e3fe7eb7/downloade0c46099dc0b0a7951be74875d3eeb1eMD5310336/22727oai:repository.urosario.edu.co:10336/227272022-05-02 07:37:14.344112https://repository.urosario.edu.coRepositorio institucional EdocURedocur@urosario.edu.co |
dc.title.spa.fl_str_mv |
Approach of minimal invasive monitoring and initial treatment of the septic patient in emergency medicine |
title |
Approach of minimal invasive monitoring and initial treatment of the septic patient in emergency medicine |
spellingShingle |
Approach of minimal invasive monitoring and initial treatment of the septic patient in emergency medicine Angiopoietin 1 Angiopoietin 2 Lactic acid Proadrenomedullin Procalcitonin Apache Carbon dioxide tension Case study Emergency medicine Emergency physician Emergency ward Feasibility study Human Intervention study Mortality Near infrared spectroscopy Oxygen saturation Patient care Patient monitoring Perfusion Prognosis Review Risk factor Sepsis Sequential organ failure assessment score Systemic inflammatory response syndrome Cellular perfusion Emergency medicine Microcirculation Sepsis Septic shock |
title_short |
Approach of minimal invasive monitoring and initial treatment of the septic patient in emergency medicine |
title_full |
Approach of minimal invasive monitoring and initial treatment of the septic patient in emergency medicine |
title_fullStr |
Approach of minimal invasive monitoring and initial treatment of the septic patient in emergency medicine |
title_full_unstemmed |
Approach of minimal invasive monitoring and initial treatment of the septic patient in emergency medicine |
title_sort |
Approach of minimal invasive monitoring and initial treatment of the septic patient in emergency medicine |
dc.subject.keyword.spa.fl_str_mv |
Angiopoietin 1 Angiopoietin 2 Lactic acid Proadrenomedullin Procalcitonin Apache Carbon dioxide tension Case study Emergency medicine Emergency physician Emergency ward Feasibility study Human Intervention study Mortality Near infrared spectroscopy Oxygen saturation Patient care Patient monitoring Perfusion Prognosis Review Risk factor Sepsis Sequential organ failure assessment score Systemic inflammatory response syndrome Cellular perfusion Emergency medicine Microcirculation Sepsis Septic shock |
topic |
Angiopoietin 1 Angiopoietin 2 Lactic acid Proadrenomedullin Procalcitonin Apache Carbon dioxide tension Case study Emergency medicine Emergency physician Emergency ward Feasibility study Human Intervention study Mortality Near infrared spectroscopy Oxygen saturation Patient care Patient monitoring Perfusion Prognosis Review Risk factor Sepsis Sequential organ failure assessment score Systemic inflammatory response syndrome Cellular perfusion Emergency medicine Microcirculation Sepsis Septic shock |
description |
Sepsis 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. |
publishDate |
2018 |
dc.date.created.spa.fl_str_mv |
2018 |
dc.date.accessioned.none.fl_str_mv |
2020-05-25T23:57:42Z |
dc.date.available.none.fl_str_mv |
2020-05-25T23:57:42Z |
dc.type.eng.fl_str_mv |
article |
dc.type.coarversion.fl_str_mv |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
dc.type.coar.fl_str_mv |
http://purl.org/coar/resource_type/c_6501 |
dc.type.spa.spa.fl_str_mv |
Artículo |
dc.identifier.doi.none.fl_str_mv |
https://doi.org/10.2147/OAEM.S177349 |
dc.identifier.issn.none.fl_str_mv |
11791500 |
dc.identifier.uri.none.fl_str_mv |
https://repository.urosario.edu.co/handle/10336/22727 |
url |
https://doi.org/10.2147/OAEM.S177349 https://repository.urosario.edu.co/handle/10336/22727 |
identifier_str_mv |
11791500 |
dc.language.iso.spa.fl_str_mv |
eng |
language |
eng |
dc.relation.citationEndPage.none.fl_str_mv |
191 |
dc.relation.citationStartPage.none.fl_str_mv |
183 |
dc.relation.citationTitle.none.fl_str_mv |
Open Access Emergency Medicine |
dc.relation.citationVolume.none.fl_str_mv |
Vol. 10 |
dc.relation.ispartof.spa.fl_str_mv |
Open Access Emergency Medicine, ISSN:11791500, Vol.10,(2018); pp. 183-191 |
dc.relation.uri.spa.fl_str_mv |
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85064847277&doi=10.2147%2fOAEM.S177349&partnerID=40&md5=65914d82f57f866907ca03f70ccf142b |
dc.rights.coar.fl_str_mv |
http://purl.org/coar/access_right/c_abf2 |
dc.rights.acceso.spa.fl_str_mv |
Abierto (Texto Completo) |
rights_invalid_str_mv |
Abierto (Texto Completo) http://purl.org/coar/access_right/c_abf2 |
dc.format.mimetype.none.fl_str_mv |
application/pdf |
dc.publisher.spa.fl_str_mv |
Dove Medical Press Ltd |
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Universidad del Rosario |
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reponame:Repositorio Institucional EdocUR |
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