Hemodynamic analysis in septic shock: a review of mortality predictors in shocked patients

• Autor(a) principal: Frazão, Luiz Felipe Neves
• Data de Publicação: 2024
• Outros Autores: Lopes , Pedro Henrique de Souza, Santos , Sabrinna Rodrigues, Filho , Tayrone Ferreira do Vale, Filho, Paulo Roberto Ferreira, Bitencourt , Layanne Pereira da Costa, Oliveira , João Marcos Guimarães de, Chehab, Luíza de Jesus, Silva , William Gomes da, Silva, Ketlen Kellen, Ramos, João Lucas Benicio, Schweitzer , Giovanna Ganley Zimmermann, Paiva , Rayane Cristina Silva, Ferreira , Lucas Franco
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Brazilian Journal of Implantology and Health Sciences
• Texto Completo: https://bjihs.emnuvens.com.br/bjihs/article/view/1698
• topic: Choque séptico; Hemodinâmica; Manejo; Septic shock; Hemodynamics; Management; Shock séptico; Hemodinámica; Gestión

The present study is a narrative review of a critical and analytical nature, in research on the main concepts regarding Septic Shock (SC), in addition to management. Selecting articles between the periods of 2010 and 2023, in English, Spanish and Portuguese, to increase the level of relevance and quality of the review, in addition to the technical-scientific basis coming from literary works renowned in history. Adding up all the databases, 771 articles were found. These are 481 in the PubMed database, 275 articles in the Ministry of Health's Virtual Health Library (VHL) and 15 articles in the Directory of Open Access Journals (DOAJ) database. Hypoperfusion, CD and increased peripheral vascular resistance, systemic arterial hypotension, fever, tachypnea, mental confusion are some signs of sepsis. When these signs are exacerbated, persistent hypotension after fluid resuscitation or there is a need to use vasoactive drugs, it is called CS, a typical classic of distributive shock. These signs lead to generalized hypoxia, triggering the anaerobic pathway and producing large amounts of lactate, another characteristic factor of the condition. However, in critical bedside scenarios, changes such as: filiform pulse, oliguria, cold and clammy skin, cyanosis, mental confusion and tachypnea may indicate a clinical picture of this disease. Therefore, as it is an extremely complex state, all systems are affected, including macro and microscopic changes in hemodynamic areas. Therefore, signs such as: blood flow to organs and signs of hypoxemia should be observed, in addition to clinical predictors of mortality. Therefore, health professionals need to be trained to identify and manage CS, in addition, to customize multidisciplinary protocols to assist in the survival of these individuals.