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...

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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
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License
Abierto (Texto Completo)
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spelling 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
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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
institution Universidad del Rosario
dc.source.instname.spa.fl_str_mv instname:Universidad del Rosario
dc.source.reponame.spa.fl_str_mv reponame:Repositorio Institucional EdocUR
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