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    [Optimization of hepatosplanchnic oxygenation in septic shock].

    [Article in German]

    Source

    Klinik für Anästhesiologie des Universitätsklinikums Düsseldorf. christopher.beck@med.uni-duesseldorf.de

    Abstract

    Microcirculatory dysfunction, reduced oxygen supply and thus impaired hepatosplanchnic organ function, play a pivotal role in the clinical manifestation of sepsis and septic shock. Early correction of the perfusion mismatch is essential to maintain end-organ and gut mu-cosa barrier function and thus to prevent bacterial translocation, bacteraemia and possible multiple organ failure. This review will outline the clinical tightrope-walk optimizing hepa-tosplanchnic oxygen supply while maintaining adequate end-organ perfusion pressure and highlight the diagnostic challenges and limitations faced in clinical practice.

    PMID:
    18196494
    [PubMed - indexed for MEDLINE]

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