Korean J Crit Care Med.  2016 Nov;31(4):265-275. 10.4266/kjccm.2016.00927.

How Do I Integrate Hemodynamic Variables When Managing Septic Shock?

• Hamzaoui O
• Teboul JL

• KMID: 2371183
• DOI: http://doi.org/10.4266/kjccm.2016.00927

Abstract

Hemodynamic management of sepsis-induced circulatory failure is complex since this pathological state includes multiple cardiovascular derangements that can vary from patient to patient according to the degree of hypovolemia, of vascular tone depression, of myocardial depression and of microvascular dysfunction. The treatment of the sepsis-induced circulatory failure is thus not univocal and should be adapted on an individual basis. As physical examination is insufficient to obtain a comprehensive picture of the hemodynamic status, numerous hemodynamic variables more or less invasively collected, have been proposed to well assess the severity of each component of the circulatory failure and to monitor the response to therapy. In this article, we first describe the hemodynamic variables, which are the most relevant to be used, emphasizing on their physiological meaning, their validation and their limitations in patients with septic shock. We then proposed a general approach for managing patients with septic shock by describing the logical steps that need to be followed in order to select and deliver the most appropriate therapies. This therapeutic approach is essentially based on knowledge of physiology, of pathophysiology of sepsis, and of published data from clinical studies that addressed the issue of hemodynamic management of septic shock.

Keyword

hemodynamics; hemodynamic monitoring; lactates; shock; septic; veno-arterial carbon dioxide gap; venous oxygen saturation

MeSH Terms

Depression
Hemodynamics*
Humans
Hypovolemia
Lactates
Logic
Physical Examination
Physiology
Sepsis
Shock
Shock, Septic*
Lactates

Figure

• 

  Fig. 1. Logical integration of hemodynamic variables for resuscitation of septic shock. The details of the different steps of this algorithmic therapeutic approach are given in the text. MAP: mean arterial pressure; CVP: central venous pressure; DAP: diastolic arterial pressure; CO: cardiac output; DO2: oxygen delivery; VO2: oxygen consumption; ScvO2: central venous blood oxygen saturation; Hb: hemoglobin concentration; PCO2 gap: central venous blood – arterial blood carbon dioxide pressure difference; RBC: red blood cells; PPV: pulse pressure variation; PLR: passive leg raising; LVEF: left ventricular ejection fraction; RV: right ventricular; ARDS: acute respiratory distress syndrome; EVLW: extravascular lung water; PAOP: pulmonary artery occlusion pressure.

Reference

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