General hospital Celje (SBCE)
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Tekočinsko oživljanje in vazoaktivna terapija pri sepsiMežnar, Miha, zdravnikHemodinamska stabilizacija je poleg pravočasnega in ustreznega protimikrobnega zdravljenja najpomembnejši ukrep pri obravnavi bolnikov s hudo sepso in septičnim šokom. Zdravljenje začnemo z infuzijo ... tekočin. Te so najpomembnejše v začetni fazi - predvsem v prvih urah. Če s tekočinami ne dosežemo zadostnega pritiska in pretoka ter s tem povrnitve funkcije organov, uporabimo vazopresorna in/ali inotropna zdravila. V zadnjih letih je več raziskav pokazalo, da protokoli za doseganje tarčnih vrednosti hemodinamskih spremenljivk ne prinašajo dodatne koristi običajnemu zdravljenju. Pri odločitvah o načinu in intenzivnosti zdravljenja nam pomaga hemodinamski nadzor, predvsem zgodnja ultrazvočna ocena delovanja srca,Source: Šola intenzivne medicine 2019 : 3. letnik : bolnišnične okužbe, sepsa, akutna ledvična odpoved, bolezni prebavil, prehrana : učbenik (Str. 115-118)Type of material - conference contributionPublish date - 2019Language - slovenianCOBISS.SI-ID - 22420227
Author
Mežnar, Miha, zdravnik
Topics
Sepsis |
Therapy |
Fluid therapy |
Sepsa |
Terapija s tekočinami
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Mežnar, Miha, zdravnik |
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