Correlation between Central Venous Oxygen Saturation (Scv02) and Serum Lactate in Resuscitation of Severe Abdominal Sepsis Using Early Goal Directed Therapy Protocol.
ISSBN 02164951
!'.A
r\
Ps.lMmnu Bedlalh llndlmeda
-Ilumall
Indon6tan JoErnal oI sErgery
ofadd
rMrr
of
rnnom.L. s'J,*m
tu-ddor
oy.aor)
Bedlalh nmdomeefla
iilfurmallllnmu
Indon*ian
of Surgery
o6d{ JouFr
+le'
Journal
or
rdmcbn sqldE
d s4!4. relry dMleDq uu!
l*Eldsu@hcd!dMd4fcU.!c-aAtrjd*i
hutrJ fMdr iuur6Lau&Fr
*Ellrs!@
tsr Pdu Rlar MD, PL6n r4si
l-!6lditsryh4r!dMd4rcUi$6tEU&yd'
Uiic6iaheGtr$e.i@Mqful!fu.
hr
suuro sdjoridjod
MD. PbD
r+J6r,MD.PhD'l|t!14atr
*l,,ads4q,h{ry
Mdrc'rcunEu'N
Unsd$Id,'JlqqRslPHs{k!.
Jumal Ilmu Bedah Indonesia
Indonesia. Jomal of Sursery
$dmd
ror [email protected]
lnvdlig{ioiinMdip,trlPhunlEfhs
njq:'lcmoiDmde n?
lss
sarunho! ($!o2)
Thsnboc}tpeniaaaPledit6otM
hjdd PdrmE rsru.'ro in dr Hsan
compdsndoudvdld.iiThyoid
Injq rEftd
i
ngMofuLlyhsev@Bum
& tsrsi srdikii
HospihL
us
inR6u$ .tioi
oryg.n sdurr.idn (s.vo,) .nd $rum L.cr.i.
olSev.reAbdomlnll SeDrs U.tns ErlyGo,l Direr
Ralin AdiE,
Kiti LutM.
Doddy T,visnto
Inrrodu.rioo. I.tarMomin.l infstion wid *veB sepsis is louoscd wnh high motuliry Se,isis lsds 1o
iftbahic. ol sy{cnh oxygcn dclivcry od oxyeen &maM. rcsulrins in globrl tsue hypoxir a.d rmsobic
mehbol(m. A mm definntve rcsus.iblon nntey sppl,er early soal dneded rherapy (EGDT) b achi*e .
balan.e bdween synemic oxysen delivsr .nd orylen demand enhin 6 hou6 Cstsl v.no$ oxycei
t lor hemodymmic thenpy Se m
kdaG n considercd to be the end prcdua ofanaenbic m*6.1isn. Thft s qu.nio whcrhr ren,l ldate cm
bcakcmariycmcasurcrorupl!.cS.!O, Thepu$oseorrstudynbfindo rhecotrdatorberwessclo,and
ue ro inr.d6domiul inlcdion.
Method A itrdy
was run with cohon prospective quasi
$p*inei6l,
S. vO. md
smn
lacrarc wcE
hessnrd
every two houB in EGDTpLridd. Thc
vcr 5 sc! qc s$ri. Daricis dne ro int*bdo'niml inledion s ixty rhree perceft weE ni le,
mjoriiyntrgedor5l60ye old, 5?% idnnsioos ro hospibl dfter had I ldayslbdomiilLp.ii.Founysir
R5 !l
rs. Thcru
3
perccD$ ofthc padm6 \!ere due
10
uk9prtomion Motulity Ere M
hou^ rsu scihtion otheRisr, m.an of ScvO. w.rc found ii.rcdcd
pepri.
Conclusioi rhcrc was a Ncak .ond!.oi hcrwcc. S.eo.
snd
lacht camol Epl@. Scvor
rsr
i{.r$!
wnh fie mbilm.e orsvnemr oxvsen delivery
lntrrabdominal infedo. is r connon enrity
encountred i. daily diniml pmcdce, leaditrs ro
sevse sepsis. And ghen inriabdomiml infecrion is
!$ocidtd *nh sclcrc $psn. such ! .ondnion
Ct.ulrtiie lntrvssctrl,r !olufrc in
sepsis is
rasod,lstarion, nyocardirl deprcssion and
hFnnebbolric nase lead ro axerd homcoi is
ad
Earl] soai dnecied th{
prorocolufiui
(EcDTl ii so'neho$ FJetred to
'he
wi(h
rsuscihion in Ftienb
fveE spsis md slTri
shdk. whi.h nlpplicd in rhc ri^r 6 hou* follo$i
plelsd..h.loJdi,!ellI'.!lJ!oira.ilily
o\J!rn d!li\cr) rid
homconash is scbieved rhrouab
d.qi. f
applic ion ol EGDT pmbcolas rcll b suFni
selsis campai$ suiddi.cs ha{ sholn thc cli
follo\cd hy bdtr $flivil $1. snd ,lso r
nonalirysftb.losol]0%].
J
!'.A
r\
Ps.lMmnu Bedlalh llndlmeda
-Ilumall
Indon6tan JoErnal oI sErgery
ofadd
rMrr
of
rnnom.L. s'J,*m
tu-ddor
oy.aor)
Bedlalh nmdomeefla
iilfurmallllnmu
Indon*ian
of Surgery
o6d{ JouFr
+le'
Journal
or
rdmcbn sqldE
d s4!4. relry dMleDq uu!
l*Eldsu@hcd!dMd4fcU.!c-aAtrjd*i
hutrJ fMdr iuur6Lau&Fr
*Ellrs!@
tsr Pdu Rlar MD, PL6n r4si
l-!6lditsryh4r!dMd4rcUi$6tEU&yd'
Uiic6iaheGtr$e.i@Mqful!fu.
hr
suuro sdjoridjod
MD. PbD
r+J6r,MD.PhD'l|t!14atr
*l,,ads4q,h{ry
Mdrc'rcunEu'N
Unsd$Id,'JlqqRslPHs{k!.
Jumal Ilmu Bedah Indonesia
Indonesia. Jomal of Sursery
$dmd
ror [email protected]
lnvdlig{ioiinMdip,trlPhunlEfhs
njq:'lcmoiDmde n?
lss
sarunho! ($!o2)
Thsnboc}tpeniaaaPledit6otM
hjdd PdrmE rsru.'ro in dr Hsan
compdsndoudvdld.iiThyoid
Injq rEftd
i
ngMofuLlyhsev@Bum
& tsrsi srdikii
HospihL
us
inR6u$ .tioi
oryg.n sdurr.idn (s.vo,) .nd $rum L.cr.i.
olSev.reAbdomlnll SeDrs U.tns ErlyGo,l Direr
Ralin AdiE,
Kiti LutM.
Doddy T,visnto
Inrrodu.rioo. I.tarMomin.l infstion wid *veB sepsis is louoscd wnh high motuliry Se,isis lsds 1o
iftbahic. ol sy{cnh oxygcn dclivcry od oxyeen &maM. rcsulrins in globrl tsue hypoxir a.d rmsobic
mehbol(m. A mm definntve rcsus.iblon nntey sppl,er early soal dneded rherapy (EGDT) b achi*e .
balan.e bdween synemic oxysen delivsr .nd orylen demand enhin 6 hou6 Cstsl v.no$ oxycei
t lor hemodymmic thenpy Se m
kdaG n considercd to be the end prcdua ofanaenbic m*6.1isn. Thft s qu.nio whcrhr ren,l ldate cm
bcakcmariycmcasurcrorupl!.cS.!O, Thepu$oseorrstudynbfindo rhecotrdatorberwessclo,and
ue ro inr.d6domiul inlcdion.
Method A itrdy
was run with cohon prospective quasi
$p*inei6l,
S. vO. md
smn
lacrarc wcE
hessnrd
every two houB in EGDTpLridd. Thc
vcr 5 sc! qc s$ri. Daricis dne ro int*bdo'niml inledion s ixty rhree perceft weE ni le,
mjoriiyntrgedor5l60ye old, 5?% idnnsioos ro hospibl dfter had I ldayslbdomiilLp.ii.Founysir
R5 !l
rs. Thcru
3
perccD$ ofthc padm6 \!ere due
10
uk9prtomion Motulity Ere M
hou^ rsu scihtion otheRisr, m.an of ScvO. w.rc found ii.rcdcd
pepri.
Conclusioi rhcrc was a Ncak .ond!.oi hcrwcc. S.eo.
snd
lacht camol Epl@. Scvor
rsr
i{.r$!
wnh fie mbilm.e orsvnemr oxvsen delivery
lntrrabdominal infedo. is r connon enrity
encountred i. daily diniml pmcdce, leaditrs ro
sevse sepsis. And ghen inriabdomiml infecrion is
!$ocidtd *nh sclcrc $psn. such ! .ondnion
Ct.ulrtiie lntrvssctrl,r !olufrc in
sepsis is
rasod,lstarion, nyocardirl deprcssion and
hFnnebbolric nase lead ro axerd homcoi is
ad
Earl] soai dnecied th{
prorocolufiui
(EcDTl ii so'neho$ FJetred to
'he
wi(h
rsuscihion in Ftienb
fveE spsis md slTri
shdk. whi.h nlpplicd in rhc ri^r 6 hou* follo$i
plelsd..h.loJdi,!ellI'.!lJ!oira.ilily
o\J!rn d!li\cr) rid
homconash is scbieved rhrouab
d.qi. f
applic ion ol EGDT pmbcolas rcll b suFni
selsis campai$ suiddi.cs ha{ sholn thc cli
follo\cd hy bdtr $flivil $1. snd ,lso r
nonalirysftb.losol]0%].
J