Transcription of 敗血症の輸液について 真剣に考える - JSEPTIC
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ICU .. Crit Care Med 2013;41:580- 637 1. a) CVP 8- 12mmHg b) MAP 65mmHg c) d) ScvO2 SvO2 70% 65% 6 2. CVP 8- 12mmHg 1983 15 MAP 65mmHg Helsinki University Hospital 9 ICU 1999 2002 1419 sepsis 48 vasopressor support 111 MAP60/65/70/75mmHg Area under MAP 30 MAP<65mmHg AUC- ROC (95% CI ) MAP 65mmHg 85mmHg 65mmHg 70mmHg? 75mmHg? 80mmHg? AKI RIFLE AKIN 6 AKI , 4. 30ml/kg fluid challenge challenge SSCG 1C 2001 Rivers EGDT Resuscita]on N Engl J Med.
Helsinki!University!Hospital!9床の混合ICUに1999年から2002年に1419患者が入室! Sepsisと診断され入室から48時間vasopressor!supportを要した111症例を後向きに解析!
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