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Verhalten des extravaskulären Lungenwassers unter initialer Volumentherapie mit Elektrolytlösungen im frühen septischen Schock

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ZAK München 1987

Zusammenfassung

Das Behandlungskonzept der Volumenoptimierung zur Aufrechterhaltung hyperdynamer Kreislaufverhältnisse im septischen Schock ist unbestritten. Kontroverse Ansichten bestehen jedoch über den Einsatz kolloidaler bzw. Kristalloider Infusionslösungen zur Volumenkorrektur und deren Auswirkungen auf das extravaskuläre Lungenwasser (EVL W) [6, 8]. In der vorliegenden Studie wurde das Verhalten des EVLW unter initialer Volumentherapie mit Elektrolytlösungen im frühen septischen Schock untersucht.

Mit Unterstützung des Bundeskanzleramtes, Sektion Gesundheitswesen.

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Literatur

  1. Civetta JM (1979) A new look at the Starling equation. Crit Care Med 7: 84

    Article  PubMed  CAS  Google Scholar 

  2. Gaar KA jr, Taylor AE, Owens U, Guyton AC (1967) Pulmonary capillary pressure and filtration coefficient in the isolated perfused lung. Am J Physiol 213: 910

    PubMed  Google Scholar 

  3. Hauser CJ, Shoemaker WC, Turpin I, Goldberg SJ (1980) Oxygen transport responses to colloids and crystalloids in critically ill surgical patients. Surg Gyn Obstet 150: 811

    CAS  Google Scholar 

  4. Rackow EC, Fein IA, Siegel J (1982) The relationship of the colloid osmotic-pulmonary artery wedge pressure gradient to pulmonary edema and mortality in critically ill patients. Chest 82: 433

    Article  PubMed  CAS  Google Scholar 

  5. Shires GT III, Peitzman AB, Albert SA, Illner H, Silane MF, Perry MO, Shires GT (1983) Response of extravascular lung water to intraoperative fluids. Ann Surg 197: 515

    Article  PubMed  Google Scholar 

  6. Shoemaker WC, Hauser CJ (1979) Critique of crystalloid versus colloid therapy in shock and shock lung. Crit Care Med 7: 117

    Article  PubMed  CAS  Google Scholar 

  7. Sturm JA, Carpenter MA, Lewis FR, Graziano C, Trunkey DD (1979) Water and protein movement in the sheep lung after septic shock: effect of colloid versus crystalloid resuscitation. J Surg Res 26: 233

    Article  Google Scholar 

  8. Sturm JA, Wisner DH (1985) Fluid resuscitation of hypovolemia. Intensive Care Med 11: 27

    Article  Google Scholar 

  9. Tranbaugh RF, Lewis FR, Cristensen JM, Elings VB (1980) Lung water changes after thermal injury. The effects of crystalloid resuscitation and sepsis. Ann Surg 192: 479

    Article  PubMed  CAS  Google Scholar 

  10. Tranbaugh RF, Elings VB, Christensen J, Lewis FR (1982) Determinants of pulmonary interstitial fluid accumulation after trauma. J Trauma 22: 820

    Article  PubMed  CAS  Google Scholar 

  11. Weil MH, Henning RJ, Puri VK (1979) Colloid oncotic pressure: clinical significance. Crit Care Med 7: 113

    Article  PubMed  CAS  Google Scholar 

  12. Zadrobilek E, Schindler I, Redl G, Mauritz W, Gilly H, Sporn P, Steinbereithner K (1987) Intravascular Starling forces and extravascular lung water in advanced septic shock states. In: Schlag G, Redl H (eds) First Vienna Shock Forum, Part B: Monitoring and Treatment of Shock. Progress in Clinical and Biological Research 2368: 139

    Google Scholar 

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© 1988 Springer-Verlag Berlin Heidelberg

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Zadrobilek, E., Hackl, W., Evstatieva, V., Mauritz, W., Sporn, P., Steinbereithner, K. (1988). Verhalten des extravaskulären Lungenwassers unter initialer Volumentherapie mit Elektrolytlösungen im frühen septischen Schock. In: Peter, K., Groh, J. (eds) ZAK München 1987. Anaesthesiologie und Intensivmedizin / Anaesthesiology and Intensive Care Medicine, vol 205. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-73785-5_2

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  • DOI: https://doi.org/10.1007/978-3-642-73785-5_2

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-19385-2

  • Online ISBN: 978-3-642-73785-5

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