Meier-Hellmann Andreas
Department of Anesthesiology, Intensive Care Medicine and Pain Management, HELIOS Klinikum Erfurt GmbH, Erfurt, Germany.
Crit Care. 2006;10(2):127. doi: 10.1186/cc4859.
The choice of catecholamines for hemodynamic stabilisation in septic shock patients has been an ongoing debate for several years. Several studies have investigated the regional effects in septic patients. Because of an often very small sample size, because of inconsistent results and because of methodical problems in the monitoring techniques used in these studies, however, it is not possible to provide clear recommendations concerning the use of catecholamines in sepsis. Prospective and adequate-sized studies are necessary because outcome data are completely lacking.
对于感染性休克患者血流动力学稳定时儿茶酚胺的选择,多年来一直存在争议。多项研究调查了感染患者的局部效应。然而,由于这些研究的样本量往往非常小、结果不一致以及所采用监测技术存在方法学问题,因此无法就脓毒症中儿茶酚胺的使用给出明确建议。由于完全缺乏结局数据,开展前瞻性且样本量充足的研究很有必要。