The Veterinary clinics of North America. Small animal practice
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Septic shock is a life-threatening condition that results from the combined effects of bacteria and the host's chemical mediators of inflammation. Of particular detriment is the hyperdynamic and hypodynamic vasomotor instability that severely compromises the patient prior to the onset of overt bacteremia. The principles of therapy include (1) a prompt diagnosis, (2) removing the source of sepsis, (3) maintaining normal blood pressure through the use of parenteral fluids and inotropes, (4) selecting the appropriate antimicrobial agent, and (5) stringent patient monitoring. Sometimes, despite the optimal use of diagnostic tests and high-quality treatment, the prognosis remains guarded to grave.
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Vet. Clin. North Am. Small Anim. Pract. · Nov 1989
ReviewCardiopulmonary resuscitation: current recommendations.
Early recognition of CPA is the key to its successful management. For resuscitation to be managed successfully, effective forward blood flow must be established at the onset of the arrest. In our clinical experience, we have found that the Doppler unit allows us to assess the effectiveness of cerebral perfusion better than any other method of blood pressure evaluation. ⋯ It follows that better coronary and cerebral blood flow will result in better resuscitation when direct cardiac massage is performed early. The "bottom line" in CPR is successful resuscitation of the patient with resultant good neurologic function. It is hoped that through the use of these techniques and new cytoprotective drugs, the survival rate will rise.