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Monitorage hémodynamique de l’état de choc septique

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Sepsis grave et choc septique

Part of the book series: Le point sur … ((POINT))

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Résumé

La défaillance circulatoire occupe une position centrale dans le sepsis sévère et l’état de choc septique puisqu’elle en conditionne l’existence. Se distinguant de la défaillance micro circulatoire qui fait l’objet d’un axe de recherche fondamentale et clinique prometteur, nous n’envisagerons que la défaillance macro circulatoire. Celle-ci concerne l’ensemble des paramètres hémodynamiques, tant la volémie vraie ou relative que la fonction myocardique systémique ou pulmonaire. Cette défaillance macro circulatoire peut ainsi revêtir tous les aspects hémodynamiques, sans compter l’addition des comorbidités cardio circulatoires de patients de réanimation toujours plus âgés. Monitorer une telle défaillance est dans ce contexte une nécessité. Mais comment choisir, devant le large panel des moniteurs proposés, celui qui répondra le mieux à nos questions?

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Authors
  1. E. Bourgeois
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  2. F. Fieux
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  3. L. Jacob
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Bourgeois, E., Fieux, F., Jacob, L. (2011). Monitorage hémodynamique de l’état de choc septique. In: Sepsis grave et choc septique. Le point sur …. Springer, Paris. https://doi.org/10.1007/978-2-8178-0064-6_9

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  • DOI: https://doi.org/10.1007/978-2-8178-0064-6_9

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