CORRELACION ENTRE EL LOGRO DE LAS METAS DE REANIMACION EN LAS PRIMERAS 6 HORAS Y LA DEPURACION DE LACTATO VENOSO CENTRAL EN EL PACIENTE CON SEPSIS SEVERA Y CHOQUE SEPTICO, EN EL AREA DE URGENCIAS DEL HOSPITAL 1° DE OCTUBRE DE AGOSTO DEL 2009 A JULIO DEL 2010

Abstract

Worldwide, severe sepsis and septic shock account for a large percentage of mortality, so that large studies have been conducted to improve survival and to determine factors that are directly involved in this, as in the case of resuscitation guide by goals OBJECTIVE: To determine the correlation between the achievement of the goals of resuscitation and better central venous lactate clearance METHODS: We performed a prospective observational study, analytical Hospital emergency room ISSSTE October 1, during a period of one year, perform diagnostics to the first 6 hours of admission, with power central venous lactate on admission and 6 hours after starting treatment goals through resuscitation. RESULTS: We included 50 patients with a 2:1 female predominance, mean age 66.2, the main diagnosis of severe acute pneumonia followed by abdominal etiology, achievement in meeting goals in its entirety 36% achievement in the purification of lactate 36% of patients, particularly if it achieves the goals of the 4 variables, we have a probability of 77.8% correct clearance of lactate, whereas in the case of non-compliance with at least one of the goals the probability NO debugging is 96%.