TITLE

HIGH-OUTPUT, LOW-RESISTANCE GRAM-NEGATIVE SEPTIC SHOCK IN MAN

AUTHOR(S)
Dietzman, Ronald H.; Ersek, Robert A.; Bloch, Jack M.; Lillehei, Richard C.
PUB. DATE
December 1969
SOURCE
Angiology;Dec1969, Vol. 20 Issue 11, p691
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Gram-negative septic shock in man of the high-output, low-resistance variety appears to be related to the opening of arteriovenous shunts in inflamed areas such as lung or peritoneum. Despite these features, an intense degree of peripheral vasoconstriction and reduced tissue perfusion due to increased sympathetic activity is present similar to that already noted in the low output-high resistance variety of septic shock. Consequently, therapy should be directed at reduction of this peripheral vasoconstriction and improvement of tissue perfusion in all instances of septic shock. A combination of volume replacement-vasodilators-positive inotropic agents has proven effective in resuscitating patients from septic shock and increasing survival.
ACCESSION #
16441660

 

Related Articles

  • C S F pseudocysts peritoneal cavity following V P Shunt surgery: Report of three cases in children and review of literature. Ghritlaharey, R. K.; Budhwani, K. S.; Shrivastava, D. K.; Jain, A. K.; Gupta, G.; Kushwaha, A. S. // Journal of Indian Association of Pediatric Surgeons;Jan-Mar2006, Vol. 11 Issue 1, p41 

    Abdominal cerebrospinal fluid (CSF) pseudocyst is an uncommon complication following ventriculo-peritoneal (VP) shunt. The following report's our experience with three cases of CSF pseudocyst in children. VP shunt was done earlier for communicating hydrocephalus following tubercular meningitis...

  • Peritoneovenous Shunts: Predictive Factors of Early Treatment Failure. Gleysteen, John J.; Klamer, Thomas W. // American Journal of Gastroenterology;Aug1984, Vol. 79 Issue 8, p654 

    Death or uncorrectable shunt malfunction occurred within 4 months in a majority (23) of 39 consecutive alcoholics who had peritoneovenous shunts. Clinical, biochemical, and operative variables in these patients were reviewed to detect factors that might predict early failure. Hepatorenal...

  • Patient Selection and Survival after Peritoneovenous Shunting for Nonmalignant Ascites. Smith, Robert E.; Nostrant, Timothy T.; Eckhauser, Frederic E.; Wilson, Joanne P.; Knol, James A.; Strodel, William E. // American Journal of Gastroenterology;Aug1984, Vol. 79 Issue 8, p659 

    Patient selection and survival after peritoneovenous shunting for nonmalignant ascites was assessed in 30 patients undergoing 44 peritoneovenous shunting procedures over a 5-year period. Indications for peritoneovenous shunting included refractory ascites alone, refractory ascites complicated by...

  • A NOVEL COMPLICATION OF PERITONEOVENOUS SHUNT: CARDIAC TAMPONADE. Dulai, Gareth; Vora, Devendra; Hage, Antione; Martin, Paul // American Journal of Gastroenterology;Aug1998, Vol. 93 Issue 8, p1379 

    For the last two decades, peritoneovenous shunts (PVS) have commonly been used in the management of refractory ascites. However, these devices are associated with a wide variety of complications. We report a case of cardiac tamponade due to ventricular perforation by a PVS. Given the substantial...

  • Neutrophil chemotaxis and receptor expression in clinical septic shock. Chishti, Ahmad D.; Shenton, Brian K.; Kirby, John A.; Baudouin, Simon V. // Intensive Care Medicine;Apr2004, Vol. 30 Issue 4, p605 

    Objective. To examine the hypothesis that neutrophil chemotaxis to interleukin-8 (IL-8) is reduced in septic shock. Surface expression of neutrophil CXC chemokine receptors and the adhesion molecule CD11b were also examined and associations between disease severity, gas exchange and receptor...

  • Adrenal Insufficiency May Be Common and Diagnosable in Severe Sepsis. Merriman, John // Pulmonary Reviews;Jan2007, Vol. 12 Issue 1, p15 

    The article discusses research being done on the diagnosis of adrenal insufficiency in severe sepsis and septic shock. It references a study by D. Annane et al published in a 2006 issue of the "American Journal of Respiratory and Critical Care Medicine." Key findings suggest that adrenal...

  • Septic Shock. Liebau, Jutta; Vohr, Hans-Werner // Encyclopedic Reference of Immunotoxicology;2005, p580 

    An entry for "septic shock" is presented. It is a clinical syndrome of acute circulatory failure caused by acute invasion of the bloodstream by microorganisms. Common symptoms are fever, chills and tachycardia. It occurs if pathogens or their toxins enter the blood and the tissues. Microbial...

  • A 5-year-old female presents with swollen lesions on abdomen, chest. Brien, James H. // Infectious Diseases in Children;Feb2013, Vol. 26 Issue 2, p15 

    The article discusses the case of a 5-year-old female with ventriculo-peritoneal (VP) shunt who experienced infection of the shunt.

  • PERITONEOVENOUS SHUNTING IN CIRRHOSIS: ITS ROLE IN THE MANAGEMENT OF REFRACTORY ASCITES IN THE 1990s. Wong, Florence; Blendis, Laurence // American Journal of Gastroenterology;Dec1995, Vol. 90 Issue 12, p2086 

    Discusses the use of a peritoneovenous shunt (PVS) in cirrhosis with ascites. Approaches to managing early ascites; Pathophysiology of refractory ascites formation; Advantages of using PVS; Morbidity and mortality rates of patients with insertion of PVS; Background on the study of PVS in cirrhosis.

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sign out of this library

Other Topics