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Standardized Hemorrhagic Shock Induction Guided by Cerebral Oximetry and Extended Hemodynamic Monitoring in Pigs
Published on: May 21, 2019
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Current haemodynamic management of septic shock
Jean-Louis Vincent1, Diego Orbegozo Cortés1, Angela Acheampong1
1Erasme University Hospital, université libre de Bruxelles, Department of Intensive Care, route de Lennik 808, 1070 Brussels, Belgium.
Presse Medicale (Paris, France : 1983)
|April 16, 2016
Summary
Early resuscitation for acute circulatory failure is crucial. The VIP (Ventilate, Infuse, Pump) and SOSD (Salvage, Optimization, Stabilization, De-escalation) mnemonics guide haemodynamic management for better oxygen balance.
Area of Science:
- Critical Care Medicine
- Cardiovascular Physiology
Background:
- Acute circulatory failure requires prompt haemodynamic management to balance oxygen delivery and demand.
- Effective resuscitation is vital for patient outcomes in shock.
Purpose of the Study:
- To outline a structured approach to haemodynamic management in acute circulatory failure.
- To emphasize early and adequate resuscitation strategies.
Main Methods:
- Application of the VIP (Ventilate, Infuse, Pump) mnemonic for simultaneous management categories.
- Utilizing the SOSD (Salvage, Optimization, Stabilization, De-escalation) mnemonic for fluid administration.
- Early initiation of noradrenaline and consideration of dobutamine based on patient status.
Main Results:
- Simultaneous consideration of ventilation, fluid infusion, and pump support is recommended.
- Fluid resuscitation follows a phased approach (SOSD) with repeated fluid challenges.
- Noradrenaline is the preferred early vasopressor, with dobutamine used for myocardial support.
Conclusions:
- Personalized haemodynamic support, guided by patient characteristics and haemodynamic parameters, is essential.
- Early and adequate resuscitation using structured protocols improves patient management in shock.
- The VIP and SOSD mnemonics provide a framework for effective haemodynamic resuscitation.
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