APPLICATION OF DOPPLER ULTRASOUND TECHNIQUE BY USCOM MACHINE TO MONITOR AND ADJUST HEMODYNAMICS IN PATIENTS WITH SEVERE INFECTION AND SEPTIC SHOCK AT NGHEAN GENERAL FRIENDSHIP HOSPITAL

Đức Phúc Nguyễn1, , Anh Tuấn Lê1
1 NGHEAN GENERAL FRIENDSHIP HOSPITAL

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Abstract

Objective: Application of Doppler ultrasound technique by USCOM machine to monitor and adjust hemodynamics in patients with severe infection and septic shock. Subjects and methods: Prospective interventional descriptive study 43 patients diagnosed with severe sepsis and septic shock. Conclusion: SVV stroke volume variability has a role in monitoring and guiding fluid resuscitation, SVRI systemic vascular resistance has a role in monitoring and guiding the use of vasopressors, inotropic strength, and INO has a role in monitoring evaluation and guiding the use of inotropic drugs.

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References

1. Derek C.A, Tom van der Poll (2013). Severe Sepsis and Septic Shock. N Engl J Med, 369: 840-851.
2. Hunter J.D, Doddi M (2010). Sepsis and the heart. British Journal of Anaesthesia, 104 (1):3-11.
3. Dellinger R.P, Levy M.M, Rhodes A, Annae D et al (2013). “Surviving Sepsis Campaign: international guidelines for management of severe sepsis and septic shock, 2012”. Intensive Care Med. 39(2):165-228.
4. Steven M H, Tom SA, Djillali A et al (2004). Practice parameters for hemodynamic support of sepsis in adult patients: 2004 update. Crit Care Med, 32 (9): 1928-1948.
5. McLean B, Janice IZ et al (2007). Monitoring blood flow, oxygenation and acid-base status. In Fundamental critical care support. Society of Critiacl Care Medicine. Fourth edition. 6-1- 6.17.
6. Nguyễn Quốc Kính, Nguyễn Thị Thu Yến (2016). Đánh giá thay đổi huyết động đo bằng USCOM ở bệnh nhân phẫu thuật chấn thương được truyền dịch tinh thể và dịch keo trước gây tê tủy sống. Tạp chí y học thực hành, số 1015: 135- 140.
7. Roeleveld P, Klerk JA (2017). The Perspective of the Intensivist on Inotropes and Postoperative Care Following Pediatric Heart Surgery: An International Survey and Systematic Review of the Literature. World J Pediatr Congenit Heart Surg; 20(4):342-49.