Combining fluids and vasopressors:A magic potion?  

作　　者：Olfa Hamzaoui 

机构地区：[1]Department of Intensive Care,Hôpital Antoine Béclère,University Paris-Saclay,Clamart 92141,France

出　　处：《Journal of Intensive Medicine》2022年第1期3-7,共5页重症医学（英文）

摘　　要：Early detection and prompt reversal of sepsis-induced tissue hypoperfusion are key elements while treating pa-tients with septic shock.Fluid administration is widely accepted as the first-line therapy followed by vasopressor use in persistently hypotensive patients or in those with insufficient arterial pressure to ensure adequate tissue perfusion.Recent evidence suggests a beneficial effect of combining fluids with vasopressors in the early phase of sepsis.Compared with fluids alone,combining fluids and vasopressors increases mean systemic pressure and venous return and corrects hypotension better.This approach also limits fluid overload,which is an independent factor of poor outcomes in sepsis.It produces less hemodilution than fluids alone.As a consequence of these effects,combined treatment may improve outcomes in septic shock patients.

关 键 词：Fluid management NOREPINEPHRINE Septic shock 

分 类 号：R459.7[医药卫生—急诊医学]