Periodicidad semestral: flujo continuo.
ISSN - Electrónico: 2661-6947 / DOI: 10.36015 • LILACS BIREME (19784); LATINDEX (20666)
Introduction: hemodynamic alterations are frequent in critically ill patients of which we can mention myocardial depression, biventricular dilatation and reduced ejection fraction, both from the right and left ventricle, although the pathophysiology of cardiac dysfunction is complicated, it is known that the inflammatory mechanisms and intracellular signaling of calcium, ryanodine receptor and an alteration in nitric oxide production, in addition IL1, TNF. The secondary myocardial depression conducive to septic shock is independent to volume resuscitation, which usually normalizes between the seventh to tenth day. The rational use of fluid, vasoactive and inotropic are essential for its management. Case: following we describe some cases in which we describe a hemodynamic evaluation using echocardiography, which served as a guide for its management.
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