Evaluación de la microcirculación sublingual en un paciente en shock séptico refractario tratado con hemofiltración de alto volumen

Evaluación de la microcirculación sublingual en un paciente en shock séptico refractario tratado con hemofiltración de alto volumen

Microcirculation is severely compromised in sepsis, with a reduction of capillary density and flow impairment. These alterations have important prognostic implications, being more severe in non-survivors to septic shock. Today microcirculation may be assessed bedside, non-invasively usingpolarized l...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Ruiz B,Carolina, Bruhn C,Alejandro, Hernández P,Glenn, Andresen H,Max
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2008
Materias:
Hemofiltration
Microcirculation
Shock, septic
Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872008000900013
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
id oai:scielo:S0034-98872008000900013
record_format dspace
spelling oai:scielo:S0034-988720080009000132008-11-12Evaluación de la microcirculación sublingual en un paciente en shock séptico refractario tratado con hemofiltración de alto volumenRuiz B,CarolinaBruhn C,AlejandroHernández P,GlennAndresen H,Max Hemofiltration Microcirculation Shock, septic Microcirculation is severely compromised in sepsis, with a reduction of capillary density and flow impairment. These alterations have important prognostic implications, being more severe in non-survivors to septic shock. Today microcirculation may be assessed bedside, non-invasively usingpolarized light videomicroscopy a technique known as SDF (side dark field). We report a 54 year-old man with an extramembranous nephropathy that developed a necrotizing fascitis associated to septic shock, in whom microcirculation was periodically assessed during his management. The patient was treated with Buids, vasoactive drugs, antibiotics and was operated for exploration and debridement. As the patient persisted in refractory shock despite treatment, high-volume hemofiltration was started. Before hemofiltration the patient had severe microcirculatory alterations that improved during and after the procedure. Physiologic endpoints of high-volume hemofiltration in septic shock remain unknown, but it has the capacity to clear inñammatory mediators. Since microcirculatory alterations are in part secondary to these mediators, their removal is beneficia! Like other authors, we found no relation between microcirculation and other haemodynamic and perfusión variables.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.136 n.9 20082008-09-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872008000900013es10.4067/S0034-98872008000900013
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Hemofiltration
Microcirculation
Shock, septic
spellingShingle Hemofiltration
Microcirculation
Shock, septic
Ruiz B,Carolina
Bruhn C,Alejandro
Hernández P,Glenn
Andresen H,Max
Evaluación de la microcirculación sublingual en un paciente en shock séptico refractario tratado con hemofiltración de alto volumen
description Microcirculation is severely compromised in sepsis, with a reduction of capillary density and flow impairment. These alterations have important prognostic implications, being more severe in non-survivors to septic shock. Today microcirculation may be assessed bedside, non-invasively usingpolarized light videomicroscopy a technique known as SDF (side dark field). We report a 54 year-old man with an extramembranous nephropathy that developed a necrotizing fascitis associated to septic shock, in whom microcirculation was periodically assessed during his management. The patient was treated with Buids, vasoactive drugs, antibiotics and was operated for exploration and debridement. As the patient persisted in refractory shock despite treatment, high-volume hemofiltration was started. Before hemofiltration the patient had severe microcirculatory alterations that improved during and after the procedure. Physiologic endpoints of high-volume hemofiltration in septic shock remain unknown, but it has the capacity to clear inñammatory mediators. Since microcirculatory alterations are in part secondary to these mediators, their removal is beneficia! Like other authors, we found no relation between microcirculation and other haemodynamic and perfusión variables.
author Ruiz B,Carolina
Bruhn C,Alejandro
Hernández P,Glenn
Andresen H,Max
author_facet Ruiz B,Carolina
Bruhn C,Alejandro
Hernández P,Glenn
Andresen H,Max
author_sort Ruiz B,Carolina
title Evaluación de la microcirculación sublingual en un paciente en shock séptico refractario tratado con hemofiltración de alto volumen
title_short Evaluación de la microcirculación sublingual en un paciente en shock séptico refractario tratado con hemofiltración de alto volumen
title_full Evaluación de la microcirculación sublingual en un paciente en shock séptico refractario tratado con hemofiltración de alto volumen
title_fullStr Evaluación de la microcirculación sublingual en un paciente en shock séptico refractario tratado con hemofiltración de alto volumen
title_full_unstemmed Evaluación de la microcirculación sublingual en un paciente en shock séptico refractario tratado con hemofiltración de alto volumen
title_sort evaluación de la microcirculación sublingual en un paciente en shock séptico refractario tratado con hemofiltración de alto volumen
publisher Sociedad Médica de Santiago
publishDate 2008
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872008000900013
work_keys_str_mv AT ruizbcarolina evaluaciondelamicrocirculacionsublingualenunpacienteenshocksepticorefractariotratadoconhemofiltraciondealtovolumen
AT bruhncalejandro evaluaciondelamicrocirculacionsublingualenunpacienteenshocksepticorefractariotratadoconhemofiltraciondealtovolumen
AT hernandezpglenn evaluaciondelamicrocirculacionsublingualenunpacienteenshocksepticorefractariotratadoconhemofiltraciondealtovolumen
AT andresenhmax evaluaciondelamicrocirculacionsublingualenunpacienteenshocksepticorefractariotratadoconhemofiltraciondealtovolumen
_version_ 1718436403299221504

Ejemplares similares