2023 update on sepsis and septic shock in adult patients: management in the emergency department
Background: Sepsis/septic shock is a life-threatening and time-dependent condition that
requires timely management to reduce mortality. This review aims to update physicians with …
requires timely management to reduce mortality. This review aims to update physicians with …
Fluid therapy for critically ill adults with sepsis: a review
Importance Approximately 20% to 30% of patients admitted to an intensive care unit have
sepsis. While fluid therapy typically begins in the emergency department, intravenous fluids …
sepsis. While fluid therapy typically begins in the emergency department, intravenous fluids …
The emerging concept of fluid tolerance: a position paper
Fluid resuscitation is a core component of emergency and critical care medicine. While the
focus of clinicians has largely been on detecting patients who would respond to fluid …
focus of clinicians has largely been on detecting patients who would respond to fluid …
Direct assessment of microcirculation in shock: a randomized-controlled multicenter study
RR Bruno, J Wollborn, K Fengler, M Flick… - Intensive Care …, 2023 - Springer
Purpose Shock is a life-threatening condition characterized by substantial alterations in the
microcirculation. This study tests the hypothesis that considering sublingual microcirculatory …
microcirculation. This study tests the hypothesis that considering sublingual microcirculatory …
Neutrophil extracellular traps contribute to immunothrombosis formation via the STING pathway in sepsis-associated lung injury
S Zhu, Y Yu, M Qu, Z Qiu, H Zhang, C Miao… - Cell Death Discovery, 2023 - nature.com
Neutrophil extracellular traps (NETs) are involved in the activation and dysfunction of
multiple overlapping and interacting pathways, including the immune response to injury …
multiple overlapping and interacting pathways, including the immune response to injury …
Early adjunctive methylene blue in patients with septic shock: a randomized controlled trial
M Ibarra-Estrada, E Kattan, P Aguilera-González… - Critical Care, 2023 - Springer
Purpose Methylene blue (MB) has been tested as a rescue therapy for patients with
refractory septic shock. However, there is a lack of evidence on MB as an adjuvant therapy …
refractory septic shock. However, there is a lack of evidence on MB as an adjuvant therapy …
Coexistence of a fluid responsive state and venous congestion signals in critically ill patients: a multicenter observational proof-of-concept study
F Muñoz, P Born, M Bruna, R Ulloa, C González… - Critical Care, 2024 - Springer
Background Current recommendations support guiding fluid resuscitation through the
assessment of fluid responsiveness. Recently, the concept of fluid tolerance and the …
assessment of fluid responsiveness. Recently, the concept of fluid tolerance and the …
How I personalize fluid therapy in septic shock?
During septic shock, fluid therapy is aimed at increasing cardiac output and improving tissue
oxygenation, but it poses two problems: it has inconsistent and transient efficacy, and it has …
oxygenation, but it poses two problems: it has inconsistent and transient efficacy, and it has …
Vasoplegic syndrome after cardiopulmonary bypass in cardiovascular surgery: Pathophysiology and management in critical care
Z Ltaief, N Ben-Hamouda, V Rancati, Z Gunga… - Journal of Clinical …, 2022 - mdpi.com
Vasoplegic syndrome (VS) is a common complication following cardiovascular surgery with
cardiopulmonary bypass (CPB), and its incidence varies from 5 to 44%. It is defined as a …
cardiopulmonary bypass (CPB), and its incidence varies from 5 to 44%. It is defined as a …
Pathophysiology of fluid administration in critically ill patients
Fluid administration is a cornerstone of treatment of critically ill patients. The aim of this
review is to reappraise the pathophysiology of fluid therapy, considering the mechanisms …
review is to reappraise the pathophysiology of fluid therapy, considering the mechanisms …