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[Improving tissue perfusion without invasive monitoring. Apropos of a case]
P Y Gueugniaud1, M Bertin-Maghit, F Bernard
1Service d'Anesthésie Réanimation VII, Hôpital Edouard-Herriot, Université Claude-Bernard, Lyon.
Cahiers D'Anesthesiologie
|January 1, 1995
Abstract:
A case is reported of a 64 year old patient who suffered a septic shock after surgical treatment of a biliary peritonitis. Increasing myocardial contractility and aortic blood flow by dobutamine appeared ineffective; added norepinephrine infusion improved the peripheral perfusion. This clinical improvement in tissue perfusion was evaluated by non-invasive continuous monitoring of the haemodynamic profile, combining aortic blood flow measurement by a transoesophageal echo-Doppler and continuous measurement of end-tidal carbon dioxide.