Resumen

INZUNZA P, Carlos et al. Suprahepatic vein oxygen saturation monitoring and gastric tonometry in the management of severe septic shock. Rev. méd. Chile [online]. 2001, vol.129, n.5, pp.552-555. ISSN 0034-9887.  http://dx.doi.org/10.4067/S0034-98872001000500012.

Splanchnic hypoperfusion, with pathogenic implications for multiple organ failure, can occur during septic shock. We report four patients with septic shock in whom regional hepatosplenic splanchnic perfusion was monitored through suprahepatic vein catheterization and gastric tonometry. Suprahepatic lactate and oxygen saturation showed splanchnic hypoperfusion in all patients. These parameters improved only in the patient that survived. Gastric tonometry was more inconsistent. We conclude that suprahepatic vein catheterization could have a role in the management of septic shock. ( Rev Méd Chile 2001; 129: 552-5)

Palabras clave : Hepatic veins; Multiple organ failure; Shock, septic; Splanchnic circulation.