Emergency and critical care teams face a recurring dilemma in early septic shock: How much fluid is enough—and when should we start vasopressors? Prolonged hypotension drives organ injury and mortality, but both fluid overload and delayed vasopressors can...
Administering the right amount of fluids is crucial in sepsis and septic shock. In critically ill patients, the goal of intravenous fluid therapy is to increase cardiac output to improve both micro- and macro-circulation and tissue oxygen delivery (DO₂). However, in...
Sepsis is defined as a systemic inflammatory response to infection. This scenario is encountered daily in all healthcare centres with a rate of 10 per 1,000 hospitalised patients. This condition is of great importance as mortality is observed in 20% of sepsis...
The administration of fluids is essential for the survival of the critical patient in shock, regardless of the cause of the shock. This supply occurs to a greater extent during the first hours and days of stay, since it is during these that resuscitation of the...
The first definition of sepsis was made in 1980 and was based on the concept of Systemic Inflammatory Response (SIRS). Despite advances and new definitions over the years, it was then that the basis for the management of the septic patient was established. Sepsis is...