Title |
When to stop septic shock resuscitation: clues from a dynamic perfusion monitoring
|
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Published in |
Annals of Intensive Care, October 2014
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DOI | 10.1186/s13613-014-0030-z |
Pubmed ID | |
Authors |
Glenn Hernandez, Cecilia Luengo, Alejandro Bruhn, Eduardo Kattan, Gilberto Friedman, Gustavo A Ospina-Tascon, Andrea Fuentealba, Ricardo Castro, Tomas Regueira, Carlos Romero, Can Ince, Jan Bakker |
Abstract |
The decision of when to stop septic shock resuscitation is a critical but yet a relatively unexplored aspect of care. This is especially relevant since the risks of over-resuscitation with fluid overload or inotropes have been highlighted in recent years. A recent guideline has proposed normalization of central venous oxygen saturation and/or lactate as therapeutic end-points, assuming that these variables are equivalent or interchangeable. However, since the physiological determinants of both are totally different, it is legitimate to challenge the rationale of this proposal. We designed this study to gain more insights into the most appropriate resuscitation goal from a dynamic point of view. Our objective was to compare the normalization rates of these and other potential perfusion-related targets in a cohort of septic shock survivors. |
X Demographics
Geographical breakdown
Country | Count | As % |
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Spain | 4 | 24% |
United Kingdom | 2 | 12% |
Colombia | 1 | 6% |
Belgium | 1 | 6% |
Vietnam | 1 | 6% |
Malaysia | 1 | 6% |
Kuwait | 1 | 6% |
Unknown | 6 | 35% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 9 | 53% |
Practitioners (doctors, other healthcare professionals) | 4 | 24% |
Scientists | 2 | 12% |
Science communicators (journalists, bloggers, editors) | 2 | 12% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Turkey | 1 | <1% |
Brazil | 1 | <1% |
Czechia | 1 | <1% |
Egypt | 1 | <1% |
Romania | 1 | <1% |
Unknown | 165 | 97% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Postgraduate | 29 | 17% |
Researcher | 20 | 12% |
Other | 16 | 9% |
Student > Doctoral Student | 15 | 9% |
Student > Ph. D. Student | 14 | 8% |
Other | 40 | 24% |
Unknown | 36 | 21% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 111 | 65% |
Nursing and Health Professions | 5 | 3% |
Agricultural and Biological Sciences | 3 | 2% |
Unspecified | 2 | 1% |
Biochemistry, Genetics and Molecular Biology | 2 | 1% |
Other | 9 | 5% |
Unknown | 38 | 22% |