tailieunhanh - Báo cáo y học: "Gastric tonometry versus cardiac index as resuscitation goals in septic shock: a multicenter, randomized, controlled trial"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Gastric tonometry versus cardiac index as resuscitation goals in septic shock: a multicenter, randomized, controlled trial. | Available online http content 13 2 R44 Research Gastric tonometry versus cardiac index as resuscitation goals in septic shock a multicenter randomized controlled trial Fernando Palizas1 Arnaldo Dubin2 Tomas Regueira3 Alejandro Bruhn3 Elias Knobel4 Silvio Lazzeri5 Natalio Baredes6 and Glenn Hernandez3 1Clínica Bazterrica Unidad de Terapia Intensiva Billinghurst 2074 y Juncal CP 1425 Buenos Aires Argentina 2Universidad de la Plata Facultad de Medicina y Ciências Exactas Calle 115 y 47. CP 1900 La Plata Buenos Aires Argentina 3Pontificia Universidad Católica de Chile Departamento de Medicina Intensiva Marcoleta 367 Santiago Chile 4Hospital Israelita Albert Einstein Unidad de Terapia Intensiva Avenida Albert Einstein 627 701 Morumbi São Paulo Brazil 5Hospital Escuela José de San Martín Servicio de Terapia Intensiva Rivadavia 1 250 Corrientes Argentina 6Hospital de Clínicas José de San Martín Unidad de Terapia Intensiva Av. Córdoba 2351 Buenos Aires Argentina Corresponding author Glenn Hernandez glennguru@ Received 30 Dec 2008 Revisions requested 11 Feb 2009 Revisions received 7 Mar 2009 Accepted 31 Mar 2009 Published 31 Mar 2009 Critical Care 2009 13 R44 doi cc7767 This article is online at http content 13 2 R44 2009 Palizas et al. licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Open Access Abstract Introduction Resuscitation goals for septic shock remain controversial. Despite the normalization of systemic hemodynamic variables tissue hypoperfusion can still persist. Indeed lactate or oxygen venous saturation may be difficult to interpret. Our hypothesis was that a gastric intramucosal pH-guided resuscitation protocol might improve the outcome of septic shock compared with a standard .