Artículos de revistas
Cateterización venosa suprahepática en cuatro casos de shock séptico severo: Report of four cases
Autor
Inzunza P,Carlos
Cornu A,Matías
Bruhn C,Alejandro
Castillo F,Luis
Bugedo T,Guillermo
Acuña C,Darwin
Medeiros U,Sebastián
Hernández P,Glenn
Institución
Resumen
Splanchnic hypoperfusion, with pathogenic implications for multiple organ failure, can occur during septic shock. We report four patients with septic shock in whom regional hepatosplenic splanchnic perfusion was monitored through suprahepatic vein catheterization and gastric tonometry. Suprahepatic lactate and oxygen saturation showed splanchnic hypoperfusion in all patients. These parameters improved only in the patient that survived. Gastric tonometry was more inconsistent. We conclude that suprahepatic vein catheterization could have a role in the management of septic shock. ( Rev Méd Chile 2001; 129: 552-5)