Abstract
Optimal resuscitation of septic shock needs to be directed by a hemodynamic monitoring. Fluid responsiveness must be evaluated by dynamic parameters. Monitoring of cardiac output is also recommended. A central venous line, an arterial catheter, and echocardiography are the minimal monitoring required. In case of no response to treatment or concomitant ALI/ARDS, transpulmonary thermodilution should be used in addition to the basic monitoring.
Keywords
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
Cecconi M, De Backer D, Antonelli M, et al. Consensus on circulatory shock and hemodynamic monitoring. Task force of the European Society of Intensive Care Medicine. Intensive Care Med. 2014;40:1795–815.
Marik PE, Cavallazzi R, Vasu T, et al. Dynamic changes in arterial waveform derived variables and fluid responsiveness in mechanically ventilated patients: a systematic review of the literature. Crit Care Med. 2009;37:2642–7.
Cavallaro F, Sandroni C, Marano C, et al. Diagnostic accuracy of passive leg raising for prediction of fluid responsiveness in adults: systematic review and meta-analysis of clinical studies. Intensive Care Med. 2010;36:1475–83.
Marik PE, Baram M, Vahid B. Does central venous pressure predict fluid responsiveness? A systematic review of the literature and the tale of seven mares. Chest. 2008;134:172.
Levitov A, Frankel HL, Blaivas M, et al. Guidelines for the appropriate use of bedside general and cardiac ultrasonography in the evaluation of critically ill patients-part II: cardiac ultrasonography. Crit Care Med. 2016;44:1206–27.
Barbier C, Loubières Y, Schmit C, et al. Respiratory changes in inferior vena cava diameter are helpful in predicting fluid responsiveness in ventilated septic patients. Intensive Care Med. 2004;30:1740–6.
Spencer KT, Kimura BJ, Korcarz CE, et al. Focused cardiac ultrasound: recommendations from the American Society of Echocardiography. J Am Soc Echocardiogr. 2013;26:567–81.
Monnet X, Marik P, Teboul JL. Passive leg raising for predicting fluid responsiveness: a systematic review and meta-analysis. Intensive Care Med. 2016;42:1935–47.
Monnet X, Anguel N, Naudin B, et al. Arterial pressure-based cardiac output in septic patients: different accuracy of pulse contour and uncalibrated pressure waveform devices. Crit Care. 2010;14:R109.
Monnet X, Teboul JL. Transpulmonary thermodilution: advantages and limits. Crit Care. 2017;21:147.
Connors AF Jr, Speroff T, Dawson NV, et al. Support Investigators. The effectiveness of right heart catheterization in the initial care of critically ill patients. JAMA. 1996;276:889–97.
Pinsky MR, Vincent JL. Let us use the pulmonary artery catheter correctly and only when we need it. Crit Care Med. 2005;33:1119–22.
Rhodes A, Evans LE, Alhazzani W, et al. Surviving sepsis campaign: international guidelines for management of sepsis and septic shock: 2016. Crit Care Med. 2017;45:486–552.
The PRISM investigators. Early, goal-directed therapy for septic shock – a patient-level meta-analysis. N Engl J Med. 2017;376:2223–34.
Hernandez G, Teboul JL. Fourth surviving sepsis campaign’s hemodynamic recommendations: a step forward or a return to chaos? Crit Care. 2017;21:133.
Kiyatkin ME, Bakker J. Lactate and microcirculation as suitable targets for hemodynamic optimization resuscitation of circulatory shock. Curr Opin Crit Care. 2017;23:348–54.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 European Society of Intensive Care Medicine
About this chapter
Cite this chapter
Martin, C., Duclos, G., Leone, M. (2019). Cardiopulmonary Monitoring of Septic Shock. In: Pinsky, M.R., Teboul, JL., Vincent, JL. (eds) Hemodynamic Monitoring. Lessons from the ICU. Springer, Cham. https://doi.org/10.1007/978-3-319-69269-2_33
Download citation
DOI: https://doi.org/10.1007/978-3-319-69269-2_33
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-69268-5
Online ISBN: 978-3-319-69269-2
eBook Packages: MedicineMedicine (R0)