#sepsis
• 鑑別診斷(SHOCK'D):
Septic, spinal (neurogenic)
Hypovolemic, hemorrhagic
Obstructive (pulmonary embolism, tension pneumothorax, tamponade)
Cardiogenic, compartment syndrome (abdominal)
K: Anaphyla'k'tic, endo'k'rine
Drugs
• 平均血壓(1/3 SBP + 2/3 DBP)比 SBP 更重要(例如:血壓 110/40 比 90/60 mmHg 更差)。
• 靜脈輸液時,能同時用 norepinephrine。
• 避免過度靜脈輸液:用被動抬腳測試輸液反應性(https://www.facebook.com/1484893288/posts/10216910124173758?sfns=mo)。
• 休克指標(心跳速率/SBP):> 0.7 能預測 SIRS,> 1 能預測血清乳酸上升。
abdominal compartment syndrome 在 趙強營養師這樣說 Facebook 的精選貼文
急重症照護中,要儘早開始餵食,但並非所有狀況都適合......
《勘誤》
建議1: 所有急重症病人最好在48小時內開始給予早期腸道營養,若"無"延遲腸道營養的理由,最好在24h內開始(請參閱以下建議)。
建議3: 若內臟循環受損,例如"休克尚未被控制"、明顯的腸缺血、腹部腔室症候群(ACS, abdominal compartment syndrome)以及在腹內高壓期間,餵食會增加腹部壓力,則應推遲早期腸道營養。
abdominal compartment syndrome 在 臨床筆記 Facebook 的最佳解答
【重症醫學】最實用的文章,來自歐洲重症醫學會(European Society of Intensive Care Medicine),免費下載!
主題包括,敗血症,休克,輸液治療,急救後之照護……..
• Surviving Sepsis Campaign: International Guidelines for Management of Severe Sepsis and Septic Shock, 2012
• Surviving Sepsis Campaign: International guidelines for management of severe sepsis and septic shock: 2008
• Consensus on circulatory shock and hemodynamic monitoring. Task force of the European Society of Intensive Care Medicine
• Intra-abdominal hypertension and the abdominal compartment syndrome: updated consensus definitions and clinical practice guidelines from the World Society of the Abdominal Compartment Syndrome
• Fluid challenges in intensive care: the FENICE study
• European Resuscitation Council and European Society of Intensive Care Medicine 2015 guidelines for post-resuscitation care
• A systematic review and meta-analysis of early goal-directed therapy for septic shock: the ARISE, ProCESS and ProMISe Investigators
• Year in review in Intensive Care Medicine 2014: I. Cardiac dysfunction and cardiac arrest, ultrasound, neurocritical care, ICU-acquired weakness, nutrition, acute kidney injury, and miscellaneous
• Combination of arterial lactate levels and venous-arterial CO2 to arterial-venous O2 content difference ratio as markers of resuscitation in patients with septic shock
• International evidence-based recommendations for point-of-care lung ultrasound
http://www.springer.com/gp/marketing/partner-power/00134p
abdominal compartment syndrome 在 Lecture Abdominal Compartment Syndrome - YouTube 的推薦與評價
Abdominal compartment syndrome is an increase in intra-abdominal pressure due to various causes and leads to failure of other organ systems ... ... <看更多>