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Fluid Resuscitation in Pediatric Septic Shock: The Case Against Haste*

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Source: Pediatric Critical Care Medicine - Category: Pediatrics Tags: Editorials Source Type: research

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Conclusions: The P(v-a)CO2/C(a-v)O2 ratio is an independent predictor of ICU mortality in septic shock patients with high ScvO2 after resuscitation. It is worthy of consideration to recruit microcirculation to correct the high ratio in high ScvO2 case.
Source: Shock - Category: Emergency Medicine Tags: Clinical Science Aspects Source Type: research
RESUMO Os pacientes admitidos em uma unidade de terapia intensiva est ão sujeitos à sobrecarga fluídica acumulada e recebem volume endovenoso pela ressuscitação agressiva, preconizada nas recomendações de tratamento do choque séptico, além de outras fontes de líquidos relacionadas às medicações e ao suporte nutricional. A estratégia liberal de oferta hí drica tem sido associada a maiores morbidade e mortalidade. Apesar de haver poucos estudos prospectivos pediátricos, novas estratégias estão sendo p...
Source: Revista Brasileira de Terapia Intensiva - Category: Intensive Care Source Type: research
We read the article by Adams and colleagues [1] in an issue of Journal of Critical Care with great interest. The authors should be commended as they unveiled an interesting clinical phenomenon that obese septic shock (SS) patient seemed to receive less aggressive, lower weight-based vasopressor and fluid doses than their nonobese counterparts. Although this chart review study sounds scientific and convictive, we still have some questions on this research.
Source: Journal of Critical Care - Category: Intensive Care Authors: Source Type: research
Purpura fulminans (PF) is a highly thrombotic subtype of disseminated intravascular coagulation that can accompany severe bacterial, and more rarely, viral infections. PF is associated with an extremely high mortality rate, and patients often die of overwhelming multisystemic thrombosis rather than septic shock. Survivors typically experience amputation of involved extremities and significant scarring in affected areas. Despite the devastating clinical course associated with this hemostatic complication of infection, the mechanism of PF remains poorly understood.
Source: Transfusion Medicine Reviews - Category: Hematology Authors: Source Type: research
Condition:   Septic Shock Intervention:   Sponsors:   Southeast University, China;   Cttq Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Condition:   Septic Shock Intervention:   Sponsor:   Southeast University, China Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Condition:   Septic Shock Intervention:   Sponsors:   Southeast University, China;   Cttq Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Condition:   Septic Shock Intervention:   Sponsor:   Southeast University, China Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Condition:   Septic Shock Intervention:   Sponsors:   Southeast University, China;   Cttq Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Condition:   Septic Shock Intervention:   Sponsor:   Southeast University, China Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
More News: Pediatrics | Septic Shock