Author/Editor		Šteblaj, Simona; Kremžar, Boriana
Title		Neinvazivne metode za zgodnjo prepoznavo kompenziranega šoka
Type		članek
Source		In: Repše S, Tršinar B, editors. Zbornik predavanj 39. podiplomskega tečaja kirurgije; 2003 okt 17-18; Ljubljana. Ljubljana: Kirurška klinika, Klinični center,
Publication year		2003
Volume		str. 9-15
Language		slo
Abstract		Shock and shock related organ failure account for most deaths in surgical patients. Shock is easily recognized in the late stages, but therapy at this time is often ineffective. By contrast, shock in its early stages is easily treated, but because it is routinely recognized by inprecise signs and subjective simptoms, the underlying low flow, inadequate tissue perfusion and tissue hypoxia may remain unnoticed and untreat until organ failure appears. An appropriate basic assumption is that low flow, poor tissue perfusion and other circulatory dysfunctions can be recognized early by objective noninvasive criteria, and that more promptly delivered therapy might be more efficacious. Noninvasively monitored data may be used to titrate early fluid therapy to achieve optimal physiologic criteria to prevent development of lethal organ failures. We discuss thoracic electric bioimpendance, Fick method, transesophageal Doppler echocardiography, pulse contour analysis, gastric tonometry.
Descriptors		SHOCK, SURGICAL CARDIAC OUTPUT ECHOCARDIOGRAPHY, TRANSESOPHAGEAL ELECTRIC IMPEDANCE THERMODILUTION STOMACH MANOMETRY