A rational approach to fluid therapy in sepsis

Patient population
Severe sepsis and septic shock.

Purpose
The purpose of this consensus is to provide support to the bedside clinician regarding the diagnosis, management and monitoring of shock.

 

 

PURPOSE
The aim of this consensus is to provide support to the bedside clinician regarding the diagnosis, management and monitoring of shock.

METHODS

The European Society of Intensive Care Medicine (ESICM) formed a task force of 12 experts.

RESULTS

44 consensus statements that can be used at the bedside to diagnose, treat and monitor patients with shock.

CONCLUSIONS

“An emerging body of basic science and clinical studies supports the concept of a hemodynamically-guided, restricted fluid resuscitation strategy in patients with severe sepsis and septic shock.”

Marik P, Bellomo R. A rational approach to fluid therapy in sepsis. Br J Anaesth. 2016;116(3):339-49. 

“These data suggest that a physiologic, haemodynamically guided conservative approach to fluid therapy in patients with sepsis would be prudent and would likely reduce the mortality and improve the outcome of this disease.”

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