Uso de la presión venosa central en la resucitación inicial del paciente en choque séptico en el servicio de urgencias: una revisión sistemática de la literatura
Vargas Lozano, Alexander Augusto | 2016-06-01
Introduction: Central venous pressure (CVP) has always been used as a tool in resuscitation of septic patients as a predictor of response to the Challenger of volume.
Materials and methods: A systematic review in the medical literature,throughthis document, its applicability in the emergency department, we considered randomized clinical trials, observational studies and meta-analysis.
Results: Reviewing DATABASE; and the PRISMA tool Selection of Articles, I was done initially are 674 , identified of which 627 Records eliminated by Duplicates, and screening for search terms were 44 items of Them only 3 items were included by criteria selection should be noted, that these studies were conducted in intensive care units, not finding studies in the emergency department; such Review child cohort study, observational study: In addition Retrospective studies, given the poor Evidence: In addition to the low quality of the endless studies, additional search was conducted in: MeSH terms - given by Responder one Fluids and venous Pressure like predictor center in addition to the initial with low methodological quality without they replied: Besides the initial QUESTION, Finally Study Since the data would not be extrapolated Because were Within the context of the intensive Care Unit because made three studies found. In New search systematic reviews refer the poor correlation in the use of Central Venous Pressure and Response As predictor fluids were found; Concepts are no extrapolated to emergency services given context Important Difference to this.