METHOD FOR CHOOSING THERAPEUTIC APPROACH TO CRITICALLY ILL PATIENTS WITH SEPTIC SHOCK Russian patent published in 2025 - IPC A61B8/06 

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to anaesthesiology and resuscitation. A stroke volume is measured by means of dynamic tests, a preload is assessed with the use of a venous congestion assessment protocol VExUS, a position is determined on a Frank-Starling curve, and the patient is referred to one of four quadrants. In the patients referred to quadrant 1, an infusion therapy is conducted, and if observing persistent hypotension and hypoperfusion, blood pressure is controlled. In the patients referred to quadrant 2, blood pressure is controlled, and hyperhydration is assessed. In the patients referred to quadrant 3, blood pressure is controlled In the patients referred to quadrant 4, blood pressure is controlled, hyperhydration and myocardial contractility are assessed.

EFFECT: method allows to personalize further therapeutic approach, to achieve heamodynamics stabilization in a timely manner, reducing the number of complications of the infusion therapy, the length of staying in the intensive care unit, reducing the lethality of the given group of patients by evaluating a set of the most significant indicators.

4 cl, 1 dwg, 2 ex