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  • Cardiocirculatory failure in the course of multiple organ dysfunction syndrome : early recognition and management
    Voga, Gorazd
    In patients with multiple organ dysfunction syndrome (MODS) the symptoms and signs of cardiac failure can be the consequence of pre-existing cardiac diseases or the pathophysiological response to the ... systemic inflammatory response syndrome (SIRS). The degree of ciculatory failure depends on the degree of hypovolemia, cardiovascular action of various inflammatory mediators and previous cardiac diseases. Beside respiratory changes, the response of the heart and circulation is one of the earliest clinical manifestations of SIRS or MODS. Therefore, this changes must be recognised as soon as possible in the course of the MODS to allow early and correct treatment. Initial evaluation of cardiac function should and could be made according to patient`s history, clinical investigation, ECG, chest X-ray and results of blood gas analysis. However in the majority of patients some special noninvasive (echocardiography) and invasive (right heart catheterization) examinations have to be performed to assess the cardiac function properly. Once the basic parameters of cardiac function are estimated, the treatment should be started. Beside volume therapy and use of very potent vasoactive drugs, early mechanical ventilation, IABP insertion and continuous hemofiltration could be very effective and even lifesaving procedures in patients with refractory heart failure in the course of MODS.
    Vir: Neurologia Croatica : journal of clinical neuroscience. - ISSN 0353-8842 (Letn. 45, Suppl. 1, 1996, str. 33-37)
    Vrsta gradiva - članek, sestavni del ; neleposlovje za odrasle
    Leto - 1996
    Jezik - angleški
    COBISS.SI-ID - 24483

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