Mortality is greater in septic patients with hyperlactatemia than with refractory hypotension

R Gotmaker, SL Peake, A Forbes, R Bellomo - Shock, 2017 - journals.lww.com
… mm Hg after an intravenous fluid challenge of 1,000 mL … refractory hypotension was present
as the trigger for randomization. We excluded patients with combined refractory hypotension

Emergency department septic shock patient mortality with refractory hypotension vs hyperlactatemia: A retrospective cohort study

MD April, C Donaldson, LI Tannenbaum… - The American journal of …, 2017 - Elsevier
… criteria for either refractory hypotension or hyperlactatemia. … among patients with isolated
refractory hypotension, isolated … on presence of refractory hypotension or hyperlactatemia. …

[HTML][HTML] Fluid response evaluation in sepsis hypotension and shock: a randomized clinical trial

IS Douglas, PM Alapat, KA Corl, MC Exline, LG Forni… - Chest, 2020 - Elsevier
… to compare PLR-guided SV responsiveness as a guide for fluid management (… refractory
hypotension, (mean arterial pressure ≤ 65 mm Hg after receiving ≥1 L and <3 L of fluid) and …

[HTML][HTML] Early restrictive or liberal fluid management for sepsis-induced hypotension

National Heart, Lung, and Blood Institute … - … England Journal of …, 2023 - Mass Medical Soc
… conditions: Severe hypotension (systolic blood pressure <70 mm Hg or MAP <50 mm Hg)
Refractory hypotension (systolic blood pressure <90 mm Hg or MAP <65 mm Hg) with adminis- …

Diabetic ketoacidosis and fluid refractory hypotension

D Singh, M Cantu, MHM Marx… - Clinical …, 2016 - journals.sagepub.com
hypotension. The first episode was refractory to fluids and needed vasopressor therapy,
and the second episode responded to fluid therapy alone. Laboratory workup and diagnostic …

Predictors, prevalence, and outcomes of early crystalloid responsiveness among initially hypotensive patients with sepsis and septic shock

DE Leisman, ME Doerfler, SM Schneider… - Critical care …, 2018 - journals.lww.com
… sepsis patients sustaining favorable hemodynamic response after initial fluid challenge, 2) …
refractory hypotension, and 3) assess the association between timeliness of fluid resuscitation

Management of refractory vasodilatory shock

JC Jentzer, S Vallabhajosyula, AK Khanna, LS Chawla… - Chest, 2018 - Elsevier
… Because untreated or persistent hypotension is an important driver of organ dysfunction,
restoring and maintaining an adequate MAP is a central goal of therapy in refractory shock. A …

Adrenocortical insufficiency and refractory hypotension in preterm infants

PC Ng - Archives of Disease in Childhood-Fetal and Neonatal …, 2016 - fn.bmj.com
… Clinical presentations of inotrope-resistant refractory hypotension are usually evident, but …
levels and management of inotrope-resistant refractory hypotension in VLBW infants. …

Double-blind randomized clinical trial comparing dopamine and epinephrine in pediatric fluid-refractory hypotensive septic shock

KN Ramaswamy, S Singhi, M Jayashree… - Pediatric Critical Care …, 2016 - journals.lww.com
… depletion in decompensated hypotensive septic shock ( 11 ). This … therapy in children with
fluid-refractory hypotensive cold … systemic vascular resistance in a hypotensive septic child, we …

Hypotension and Shock

FX Guyette, RL Fowler, RN Roth - Emergency Medical Services …, 2021 - Wiley Online Library
… initiation of goal‐directed volume resuscitation and early antibiotics [30, 81]. Vasopressors
are initiated for fluid refractory hypotension or in patients with fluid overload, to maintain a …