Daniel De Backer, Maurizio Cecconi, Michelle S Chew, Ludhmila Hajjar, Xavier Monnet, Gustavo A Ospina-Tascón, Marlies Ostermann, Michael R Pinsky, Jean-Louis Vincent
Although guidelines provide excellent expert guidance for managing patients with septic shock, they leave room for personalization according to patients' condition. Hemodynamic monitoring depends on the evolution phase: salvage, optimization, stabilization, and de-escalation. Initially during the salvage phase, monitoring to identify shock etiology and severity should include arterial pressure and lactate measurements together with clinical examination, particularly skin mottling and capillary refill time. Low diastolic blood pressure may trigger vasopressor initiation...
December 1, 2022: Critical Care: the Official Journal of the Critical Care Forum