Ultrasound and NICOM in the assessment of fluid responsiveness in patients with mild sepsis in the emergency department: a pilot study

Conclusions
Our small pilot study suggests that at least 1000 mL saline is needed to induce a significant response in stroke volume in patients with sepsis and a high caval index. This amount seems to be safe, not leading to the development of fluid overload. Therefore, combining ultrasound and NICOM is feasible and may be valuable tools in the treatment of patients with sepsis in the ED. A larger trial is needed to confirm these results.

Source: BMJ Open - January 26, 2017 Category: Journals (General) Authors: Oord, M., Olgers, T. J., Doff-Holman, M., Harms, M. P. M., Ligtenberg, J. J. M., ter Maaten, J. C. Tags: Open access, Emergency medicine, Infectious diseases Research Source Type: research