Fluid Doctor||Traveler||Amateur Researcher||Military Veteran. Author: Handbook of Intravenous Fluids, Springer-Singapore,’22. Editor: Rational Use of Intravenous Fluids for Critically Ill Patients, Springer Europe,’24.
I wish it were that easy to manage septic shock. To add on to the already busy algorithm: 1. Vasopressor should be a priority if DBP very low (e.g. <90 mmHg). 2. Gross vasodilation. Example: very wide pulse pressure or Diastolic Shock Index >2.3. 3. Already large volume infused (e.g. >1000 ml). Can potentially reduce cumulative fluid balance. Consider “Vasopressor Challenge” for individualising MAP target. #septicshock #personalisedmedicine #vasopressors #foamed
Today's paper of the day is on fluids and early vasopressors in the management of septic shock: do we have the right answers yet? https://lnkd.in/d3kPTYeb Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2023
Former Joint director ,State Organ and Tissue Transplant Organisation (SOTTO), Govt of Puducherry
11moLooking for source and source control concept gets always pushed out of algorithms....Sometimes to be frank ,surgeons themselves try to avoid source control as then the onus becomes entirely the surgeon's now.This is the truth!!!.Somehow trying to get that window period for source control drains logistics.😰