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13.
Ocena pretoka in njegove zadostnosti
Voga, Gorazd
Ocena hemodinamskega stanja je temeljnega pomena pri zdravljenju kritično bolnih, meritve minutnega srčnega iztisa in ocena njegove zadostnosti pa so njen pomemben sestavni del. Klinična ocena obeh ...spremenljivk je premalo zanesljiva za terapevtske odločitve, vendar je kljub temu ne smemo opustiti. Minutni srčni iztis lahko izmerimo z različnimi neinvazivnimi in invazivnimi metodami, njegovo zadostnost pa ocenimo glede na vrednost in spremembe serumskega laktata ter zasičenost osrednjevenske ter mešane venske krvi s kisikom. Zdravljenje, ki temelji na normalizaciji kazalcev zadostnosti pretoka, je povezano z večjo verjetnostjo preživetja različnih skupin kritično bolnih.
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