학술논문

Equipoise in Appropriate Initial Volume Resuscitation for Patients in Septic Shock With Heart Failure: Results of a Multicenter Clinician Survey
Document Type
article
Source
Journal of Intensive Care Medicine. 35(11)
Subject
Physical Injury - Accidents and Adverse Effects
Infectious Diseases
Cardiovascular
Clinical Research
Hematology
Sepsis
Heart Disease
Inflammatory and immune system
Infection
Fluid Therapy
Heart Failure
Humans
Resuscitation
Shock
Septic
Stroke Volume
Surveys and Questionnaires
Therapeutic Equipoise
septic shock
resuscitation
crystalloid
fluid challenge
systolic heart failure
Clinical Sciences
Nursing
Emergency & Critical Care Medicine
Language
Abstract
PurposeInternational clinical practice guidelines call for initial volume resuscitation of at least 30 mL/kg body weight for patients with sepsis-induced hypotension or shock. Although not considered in the guidelines, preexisting cardiac dysfunction may be an important factor clinicians weigh in deciding the quantity of volume resuscitation for patients with septic shock.MethodsWe conducted a multicenter survey of clinicians who routinely treat patients with sepsis to evaluate their beliefs, behaviors, knowledge, and perceived structural barriers regarding initial volume resuscitation for patients with sepsis and concomitant heart failure with reduced ejection fraction (HFrEF)