Correlation between Central Venous Oxygen Saturation (Scv02) and Serum Lactate in Resuscitation of Severe Abdominal Sepsis Using Early Goal Directed Therapy Protocol.

ISSBN 02164951

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Doddy T,visnto

Inrrodu.rioo.

I.tarMomin.l infstion wid

*veB

sepsis is louoscd wnh high

motuliry

Se,isis

lsds

1o

iftbahic.

ol

sy{cnh

oxygcn dclivcry

od

oxyeen

&maM.

rcsulrins in globrl

tsue

hypoxir a.d

rmsobic

mehbol(m. A

mm

definntve rcsus.iblon

nntey

sppl,er _{early soal} dneded rherapy (EGDT)

b

achi*e

.

balan.e bdween synemic oxysen

delivsr .nd

orylen

demand

enhin 6

hou6

Cstsl

v.no$

oxycei

t lor hemodymmic thenpy

Se

m

kdaG n considercd to be the end prcdua ofanaenbic

m*6.1isn.

Thft

s

qu.nio

whcrhr

ren,l

ldate

cm

bcakcmariycmcasurcrorupl!.cS.!O,

Thepu$oseorrstudynbfindo rhecotrdatorberwessclo,and

ue ro

inr.d6domiul

inlcdion.

Method A

itrdy

was run with cohon prospective quasi

$p*inei6l,

S. vO. md

smn

lacrarc wcE

hessnrd

every two houB in EGDTpLridd. Thc

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Daricis dne ro

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uk9prtomion

Motulity Ere

M

hou^ rsu scihtion otheRisr, m.an of ScvO. w.rc found

ii.rcdcd

rsr

Conclusioi

rhcrc was

a

Ncak

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hcrwcc.

S.eo.

snd

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camol Epl@. Scvor

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J

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oxvsen delivery

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prorocolufiui

lntrrabdominal

infedo.

is

r

connon

enrity encountred

i.

daily

diniml

pmcdce, leaditrs ro

sevse sepsis. And ghen

inriabdomiml

infecrion is

!$ocidtd *nh

sclcrc

$psn.

such

!

.ondnion

Ct.ulrtiie

lntrvssctrl,r

!olufrc

in

sepsis is

rasod,lstarion,

nyocardirl

deprcssion

and

hFnnebbolric

nase lead

ro

axerd

homcoi

is

rsuscihion

in

Ftienb

wi(h

fveE

spsis md slTri

shdk.

whi.h

nlpplicd

in rhc

ri^r

6 hou*

follo$i

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rid

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is

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d.qi.

f

applic

ion

ol

EGDT

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