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

Autor: Enyo A. Ablordeppey, Amy Zhao, Jeffery Ruggeri, Ahmad Hassan, Laura Wallace, Mansi Agarwal, Sean P. Stickles, Christopher Holthaus, Daniel Theodoro
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Emergency Medicine International, Vol 2024 (2024)
Druh dokumentu: article
ISSN: 2090-2859
DOI: 10.1155/2024/5675066
Popis: 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
Databáze: Directory of Open Access Journals
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