Academic Journals Database
Disseminating quality controlled scientific knowledge

A Novel Approach: Non invasive management of patients under the surviving sepsis campaign guidelines. A case series of 5 patients.

ADD TO MY LIST
 
Author(s): Piyush N Mallick | Surjya P Upadhyay | Manish Jagia | Osman Pamkar | Koppolu Y Prasad

Journal: Indian Anaesthetists' Forum
ISSN 0973-0311

Volume: 12;
Issue: 5;
Start page: 1234;
Date: 2011;
VIEW PDF   PDF DOWNLOAD PDF   Download PDF Original page

Keywords: Sepsis | fluid resuscitation | ultasonography | caval index | echocardiography | lactate reversal

ABSTRACT
Fluid resuscitation is the most critical intervention during initial phase of management in septic patients. We used some simple non invasive method which can be followed easily for estimation of fluid status and response to fluid therapy. We used ultrasonography of IVC & Echocardiography evaluation of velocity time integral through aortic valve flow to guide fluid administration as surrogate markers of CVP. Periodic estimation of lactate concentration to assess tissue oxygenation with aim of lactate reversal of 10% per hour was used in place of central venous oxygen saturation.
Save time & money - Smart Internet Solutions      Why do you need a reservation system?