Sepsis and Cardiac Output Measurement M62 Course脓毒症和心输出量测量M62课程.pptVIP

Sepsis and Cardiac Output Measurement S Gower Consultant Anaesthetist Aim Glimpse of history of sepsis management Overview of pathophysiology Comment on cardiac output measurement Update on sepsis treatment, particularly early management. History Swan Ganz catheter, 1970 Bp=COxSVR Shoemaker, 1979 DO2 =(SaO2xHb)xCO Supranormal values PA Catheter Cardiac Output Measurement Swan song for the Swan Ganz? Soni 1996 Connors, JAMA 1996 Retrospective study of 5735 patients Increased mortality with swan. PiCCO Lithium Dilution Thoracic electrical bioimpedance Oesophageal doppler CCCombo Edwards lifescie