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Infectious Disease & Sepsis

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Based on the CLASSIC trial. how did your fluid management of sepsis changed?

  • No changes, give 30 mL/kg bolus if hypotensive or LA >4

  • Restrict to 250-500 mL bolus based on the study criteria!


MUHAMMAD SARFARAZ  ALAM
Musaab M
Mohammed Alfaifi

In a study among 14-hospital integrated system in Pittsburgh that was published in JAMA, source control intervention within 6 hours of presentation in 4962 patients with community-acquired sepsis, was associated with 29% risk-adjusted 90-day mortality compared with delayed source control.


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The CLASSIC Trial: no difference in outcome including adverse events between restrictive versus standard fluid strategies in patients with septic shock.


The LOVIT trial: worse outcome with vitamin c in sepsis.



Souhila  Mansour

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