Resumen de Cateterización venosa suprahepática en cuatro casos de shock séptico severo: Report of four cases

Carlos Inzunza P., Matías Cornu A, Alejandro Bruhn, Luis Castillo F, Guillermo Bugedo, Darwin Acuña C, Sebastián Medeiros, Glenn Hernández P

• 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)