%0 Journal Article
%T Cateterizaci¨®n venosa suprahep¨¢tica en cuatro casos de shock s¨¦ptico severo: Report of four cases Suprahepatic vein oxygen saturation monitoring and gastric tonometry in the management of severe septic shock
%A Carlos Inzunza P
%A Mat¨ªas Cornu A
%A Alejandro Bruhn C
%A Luis Castillo F
%J Revista m¨¦dica de Chile
%D 2001
%I Sociedad M¨¦dica de Santiago
%X Splanchnic hypoperfusion, with pathogenic implications for multiple organ failure, can occur during septic shock. We report four patients with septic shock in whom regional hepatosplenic splanchnic perfusion was monitored through suprahepatic vein catheterization and gastric tonometry. Suprahepatic lactate and oxygen saturation showed splanchnic hypoperfusion in all patients. These parameters improved only in the patient that survived. Gastric tonometry was more inconsistent. We conclude that suprahepatic vein catheterization could have a role in the management of septic shock. ( Rev M¨¦d Chile 2001; 129: 552-5)
%K Hepatic veins
%K Multiple organ failure
%K Shock
%K septic
%K Splanchnic circulation
%U http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872001000500012