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Comments on GEDI vs. CVP goal-directed fluid resuscitation for chronic obstructive pulmonary disease patients with septic shock: A randomized controlled trial

  • Hairong Cai
    Affiliations
    The Second Clinical Medical College of Guangzhou University of Chinese Medicine, Guangzhou 510405, Guangdong Province, China

    Department of Emergency, the Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, 510120, Guangdong Province, China.
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  • Shuling Liu
    Affiliations
    Department of Emergency, the Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, 510120, Guangdong Province, China.
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  • Weizhang Zhang
    Affiliations
    Department of Emergency, the Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, 510120, Guangdong Province, China.
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  • Lieyuan Zhang
    Affiliations
    Department of Emergency, the Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, 510120, Guangdong Province, China.
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  • Jing Zeng
    Affiliations
    Department of Emergency, the Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, 510120, Guangdong Province, China.
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  • Shuai Zhao
    Affiliations
    The Second Clinical Medical College of Guangzhou University of Chinese Medicine, Guangzhou 510405, Guangdong Province, China

    Department of Emergency, the Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, 510120, Guangdong Province, China.
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  • Xingui Cai
    Affiliations
    Department of Emergency, the Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, 510120, Guangdong Province, China.
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  • Yongning Guo
    Affiliations
    Department of Emergency, the Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, 510120, Guangdong Province, China.
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  • Zhishang Li
    Affiliations
    The Second Clinical Medical College of Guangzhou University of Chinese Medicine, Guangzhou 510405, Guangdong Province, China

    Department of Emergency, the Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, 510120, Guangdong Province, China.
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  • Bojun Chen
    Correspondence
    Corresponding author at: NO. 55, Neihuan Xi Road, University Town, Panyu District, Guangzhou City, Guangdong Province, China.
    Affiliations
    The Second Clinical Medical College of Guangzhou University of Chinese Medicine, Guangzhou 510405, Guangdong Province, China

    Department of Emergency, the Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, 510120, Guangdong Province, China.
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Published:March 11, 2019DOI:https://doi.org/10.1016/j.ajem.2019.03.019
      We have greatly enjoyed reading the article by Yu et al. [
      • Yu J.
      • Zheng R.
      • Lin H.
      • et al.
      Global end-diastolic volume index vs central venous pressure goal-directed fluid resuscitation for chronic obstructive pulmonary disease patients with septic shock: a randomized controlled trial [J].
      ],which was a single-center, prospective, randomized, controlled trial (RCT) compared the effects of Global end-diastolic volume index (GEDI) vs. central venous pressure (CVP) goal-directed fluid resuscitation for chronic obstructive pulmonary disease (COPD) patients with septic shock. The authors conclude that GEDI goal-directed fluid resuscitation shows better clinical effects compared to CVP for COPD patients with septic shock.

      Abbreviations:

      GEDI (Global end-diastolic volume index), CVP (central venous pressure), COPD (chronic obstructive pulmonary disease), RCTs (random, controlled trails)

      Keywords

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