Venous to Arterial Carbon Dioxide Difference (P₍ᵥ-ₐ₎CO₂): Predictor of Septic Patient Prognosis Depending on the ScvO₂

Launched by ASSISTANCE PUBLIQUE HOPITAUX DE MARSEILLE · Sep 22, 2017

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Eligibility criteria

• Inclusion Criteria:
• • Patient with a diagnosis of septic shock
• • Initial lactate in patients should be≥ 2 mmol / L.
• • The presence of circulatory insufficiency defined by a systolic blood pressure ≤ 90 mmHg (or a drop in blood pressure≥ 50 mmHg in hypertensive patients)
• • One or more of the following: oliguria defined as diuresis≤ 0,5 mL/ kg / h for at least two hours; the presence of signs of cerebral hypoperfusion; the highlighting of mottling
• • The presence of a femoral arterial catheter and a central venous line in the superior vena cava position
• • Hemodynamic monitoring with semi-invasive monitoring of cardiac output with thermodilution
• Exclusion Criteria:
• • Patient no longer in the initial phase of septic shock
• • Absence of semi-invasive cardiac monitoring with thermodilution
• • Vulnerable people
• • Absence of informed consent