Abstract
The way we manage shock has changed throughout the years in various ways; we have learned mostly through sepsis research that all the available endpoints for resuscitation have limitations and that there is no single optimal endpoint that is superior to all others. Bedside assessment, clinical judgment, laboratory markers, and hemodynamic tools and maneuvers are, in combination, more useful than isolated endpoints. We are also more aware that excessive fluid resuscitation leads to increased morbidity and mortality.
Original language | English (US) |
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Title of host publication | Current Therapy of Trauma and Surgical Critical Care |
Publisher | Elsevier |
Pages | 148-152.e1 |
ISBN (Electronic) | 9780323697873 |
DOIs | |
State | Published - Jan 1 2023 |
Keywords
- IVCDC
- LVOT VTI
- dynamic endpoints
- fluid overload
- passive leg raise
- resuscitation
- shock
- static measures
ASJC Scopus subject areas
- General Medicine