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Fluid resuscitation in pre-hospital patients with septic shock: One size does not fit all

      We read the enchanting article by Jouffroy [
      • Jouffroy R.
      • Saade A.
      • Muret A.
      • et al.
      Fluid resuscitation in pre-hospital management of septic shock.
      ] et al., which is about fluid resuscitation in pre-hospital management of septic shock. We have some questions and different views after reading the article.

      Abbreviations:

      IBW (ideal body weight), SSC (Surviving Sepsis Campaign), CVP (central venous pressure), MAP (mean arterial pressure), ScvO2 (Superior vena cava oxygenation saturation), SvO2 (mixed venous oxygen saturation)

      Keywords

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      References

        • Jouffroy R.
        • Saade A.
        • Muret A.
        • et al.
        Fluid resuscitation in pre-hospital management of septic shock.
        Am J Emerg Med. 2018 Jan 29; (PMID: 29395771, In Press)https://doi.org/10.1016/j.ajem.2018.01.078
        • Dellinger R.P.
        • Levy M.M.
        • Rhodes A.
        • et al.
        Surviving sepsis campaign: international guidelines for management of severe sepsis and septic shock: 2012.
        Crit Care Med. 2013; 41 ([PMID: 23353941]): 580-637https://doi.org/10.1097/CCM.0b013e31827e83af
        • Murphy C.V.
        • Schramm G.E.
        • Doherty J.A.
        • et al.
        The importance of fluid management in acute lung injury secondary to septic shock.
        Chest. 2009; 136 ([PMID: 19318675]): 102-109https://doi.org/10.1378/chest.08-2706
        • Boyd J.H.
        • Forbes J.
        • Nakada T.A.
        • Walley K.R.
        • Russell J.A.
        Fluid resuscitation in septic shock: a positive fluid balance and elevated central venous pressure are associated with increased mortality.
        Crit Care Med. 2011; 39 (PMID: 20975548): 259-265https://doi.org/10.1097/CCM.0b013e3181feeb15
        • Maurer C.
        • Wagner J.Y.
        • Schmid R.M.
        • Saugel B.
        Assessment of volume status and fluid responsiveness in the emergency department: a systematic approach.
        Med Klin Intensivmed Notfmed. 2017; 112: 326-333https://doi.org/10.1007/s00063-015-0124-x, PMID:26676240