Decreased central venous oxygen saturation despite normalization of heart rate and blood pressure post shock resuscitation in sick dogs.

摘要: Objective To evaluate traditional and global perfusion parameters in clinical canine shock patients, to for occult hypoperfusion as evidenced by low central venous oxygen saturation or high plasma lactate concentrations patients resuscitated endpoints. Design Clinical observational trial designed with a 1-year data entry period patient follow-up of 28 days posthospital presentation. Setting Large, private urban teaching hospital, emergency critical care center. Animals Adult presenting the department untreated shock. Interventions None. Measurements Main Results Patients received fluid resuscitation normalize based on physical examination arterial blood pressure (BP). Monitoring (CVP) (ScvO2) was feasible current standard interventions critically ill, client-owned dogs. Decreased ScvO2 observed 37.8% normal parameters. Hyperlactatemia commonly recorded. Conclusions Decreased exists significant proportion ill dogs following shock, providing relevant target population implementation more standardized early goal-directed therapy bundle veterinary patients. Normalization heart rate, pressure, mentation, directed may be attained despite persistence tissue debt.