2023 update on sepsis and septic shock in adult patients: management in the emergency department

M Guarino, B Perna, AE Cesaro, M Maritati… - Journal of clinical …, 2023 - mdpi.com
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 …

Fluid therapy for critically ill adults with sepsis: a review

FG Zampieri, SM Bagshaw, MW Semler - Jama, 2023 - jamanetwork.com
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 …

The emerging concept of fluid tolerance: a position paper

E Kattan, R Castro, F Miralles-Aguiar, G Hernández… - Journal of Critical …, 2022 - Elsevier
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 …

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 …

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 …

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 …

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 …

How I personalize fluid therapy in septic shock?

X Monnet, C Lai, JL Teboul - Critical Care, 2023 - Springer
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 …

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 …

Pathophysiology of fluid administration in critically ill patients

A Messina, J Bakker, M Chew, D De Backer… - Intensive care medicine …, 2022 - Springer
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 …