A physiologic approach to hemodynamic monitoring and optimizing oxygen delivery in shock resuscitation

Amy Russell; Emanuel P. Rivers; Paresh C. Giri; Anja K. Jaehne; H. Bryant Nguyen

doi:10.3390/jcm9072052

A physiologic approach to hemodynamic monitoring and optimizing oxygen delivery in shock resuscitation

Amy Russell, Emanuel P. Rivers, Paresh C. Giri, Anja K. Jaehne, H. Bryant Nguyen

Research output: Contribution to journal › Review article › peer-review

Abstract

The approach to shock resuscitation focuses on all components of oxygen delivery, including preload, afterload, contractility, hemoglobin, and oxygen saturation. Resuscitation focused solely on preload and fluid responsiveness minimizes other key elements, resulting in suboptimal patient care. This review will provide a physiologic and practical approach for the optimization of oxygen delivery utilizing available hemodynamic monitoring technologies. Venous oxygen saturation (SvO₂) and lactate will be discussed as indicators of shock states and endpoints of resuscitation within the framework of resolving oxygen deficit and oxygen debt.

Original language	English
Article number	2052
Pages (from-to)	1-18
Number of pages	18
Journal	Journal of Clinical Medicine
Volume	9
Issue number	7
DOIs	https://doi.org/10.3390/jcm9072052
State	Published - Jul 2020

ASJC Scopus Subject Areas

General Medicine

Keywords

Fluid responsiveness
Hemodynamic monitoring
Lactate
Oxygen delivery
Resuscitation
Shock
Stroke volume
Venous oxygen saturation

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10.3390/jcm9072052

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title = "A physiologic approach to hemodynamic monitoring and optimizing oxygen delivery in shock resuscitation",

abstract = "The approach to shock resuscitation focuses on all components of oxygen delivery, including preload, afterload, contractility, hemoglobin, and oxygen saturation. Resuscitation focused solely on preload and fluid responsiveness minimizes other key elements, resulting in suboptimal patient care. This review will provide a physiologic and practical approach for the optimization of oxygen delivery utilizing available hemodynamic monitoring technologies. Venous oxygen saturation (SvO2) and lactate will be discussed as indicators of shock states and endpoints of resuscitation within the framework of resolving oxygen deficit and oxygen debt.",

keywords = "Fluid responsiveness, Hemodynamic monitoring, Lactate, Oxygen delivery, Resuscitation, Shock, Stroke volume, Venous oxygen saturation",

author = "Amy Russell and Rivers, {Emanuel P.} and Giri, {Paresh C.} and Jaehne, {Anja K.} and Nguyen, {H. Bryant}",

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AU - Rivers, Emanuel P.

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AU - Nguyen, H. Bryant

PY - 2020/7

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AB - The approach to shock resuscitation focuses on all components of oxygen delivery, including preload, afterload, contractility, hemoglobin, and oxygen saturation. Resuscitation focused solely on preload and fluid responsiveness minimizes other key elements, resulting in suboptimal patient care. This review will provide a physiologic and practical approach for the optimization of oxygen delivery utilizing available hemodynamic monitoring technologies. Venous oxygen saturation (SvO2) and lactate will be discussed as indicators of shock states and endpoints of resuscitation within the framework of resolving oxygen deficit and oxygen debt.

KW - Fluid responsiveness

KW - Hemodynamic monitoring

KW - Lactate

KW - Oxygen delivery

KW - Resuscitation

KW - Shock

KW - Stroke volume

KW - Venous oxygen saturation

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A physiologic approach to hemodynamic monitoring and optimizing oxygen delivery in shock resuscitation

Abstract

ASJC Scopus Subject Areas

Keywords

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