Does Point-of-Care Ultrasound Affect Fluid Resuscitation Volume in Patients with Septic Shock: A Retrospective Review

Does Point-of-Care Ultrasound Affect Fluid Resuscitation Volume in Patients with Septic Shock: A Retrospective Review

Background. Fixed, large volume resuscitation with intravenous fluids (IVFs) in septic shock can cause inadvertent hypervolemia, increased medical interventions, and death when unguided by point-of-care ultrasound (POCUS). The primary study objective was to evaluate whether total IVF volume differs...

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Veröffentlicht in:Emergency medicine international 2024-05, Vol.2024, p.5675066-9
Hauptverfasser: Ablordeppey, Enyo A., Zhao, Amy, Ruggeri, Jeffery, Hassan, Ahmad, Wallace, Laura, Agarwal, Mansi, Stickles, Sean P., Holthaus, Christopher, Theodoro, Daniel
Format: Artikel
Sprache:eng
Schlagworte:
Care and treatment
Lactates
Medical research
Medicine, Experimental
Mortality
Septic shock
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Zusammenfassung:Background. Fixed, large volume resuscitation with intravenous fluids (IVFs) in septic shock can cause inadvertent hypervolemia, increased medical interventions, and death when unguided by point-of-care ultrasound (POCUS). The primary study objective was to evaluate whether total IVF volume differs for emergency department (ED) septic shock patients receiving POCUS versus no POCUS. Methods. We conducted a retrospective observational cohort study from 7/1/2018 to 8/31/2021 of atraumatic adult ED patients with septic shock. We agreed upon a priori variables and defined septic shock as lactate ≥4 and hypotension (SBP
ISSN:2090-2840
2090-2859
DOI:10.1155/2024/5675066