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Simon Browns editorial highlights the fact that basics in the management of septic patient shouldn't be forgotten in a resuscitation scenario. The lack of clear evidence supporting benefits with albumin shouldn't delay crystalloid use in emergency department with the aim to avoid tissue hypo perfusion in severe sepsis. Early goal directed therapy seem to improve survival in septic patients. There is no justification for not giving crystalloids in the light of lack of RCTs comparing crystalloid versus colloid in early resuscitation but common sense dictates the need for maintaining adequate central venous pressure and mixed venous saturation to ensure tissue hypo perfusion. The mortality rate may cannot be purely be attributed to the type of fluids used as sepsis is a multifactorial phenomenon.
Re: Fluid resuscitation for people with sepsis
Simon Browns editorial highlights the fact that basics in the management of septic patient shouldn't be forgotten in a resuscitation scenario. The lack of clear evidence supporting benefits with albumin shouldn't delay crystalloid use in emergency department with the aim to avoid tissue hypo perfusion in severe sepsis. Early goal directed therapy seem to improve survival in septic patients. There is no justification for not giving crystalloids in the light of lack of RCTs comparing crystalloid versus colloid in early resuscitation but common sense dictates the need for maintaining adequate central venous pressure and mixed venous saturation to ensure tissue hypo perfusion. The mortality rate may cannot be purely be attributed to the type of fluids used as sepsis is a multifactorial phenomenon.
Competing interests: No competing interests