Fluid resuscitation of at least 30 mL/kg was not associated with decreased mortality in patients with infection, signs of hypoperfusion, and a do‐not‐intubate order

Autor: Wataru Matsuda, Yumi Funato, Momoyo Miyazaki, Koichiro Tomiyama
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Acute Medicine & Surgery, Vol 9, Iss 1, Pp n/a-n/a (2022)
Druh dokumentu: article
ISSN: 2052-8817
DOI: 10.1002/ams2.795
Popis: Aim Administration of at least 30 mL/kg of fluid as fluid resuscitation is recommended for patients with sepsis and signs of hypoperfusion. However, it is not clear whether this is appropriate for patients with a do‐not‐intubate (DNI) order. This study evaluated the association between volume of fluid resuscitation and outcomes in patients with infection, signs of hypoperfusion, and a DNI order in an emergency department. Methods This was a single‐center retrospective cohort study. We classified the infected patients with signs of hypoperfusion and a DNI order seen in our emergency department between April 1, 2015 and November 31, 2020 into the standard fluid resuscitation group (≥30 mL/kg) and the restricted fluid resuscitation group (
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