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- W4283744227 abstract "La reanimación con fluidos es una parte crucial en el tratamiento de la hipotensión y el shock de cualquier etiología y, particularmente en el shock séptico, un elemento esencial del bundle de atención inicial. Como todos los tratamientos en sepsis, también está expuesto a múltiples controversias: qué tipo de fluido, qué cantidad, en cuánto tiempo se administra, cuáles son los potenciales riesgos y la toxicidad. La principal guía, la Surviving Sepsis Campaign, sigue indicando los cristaloides como principal fluido en la reanimación. Pero la posibilidad de cristaloides balanceados sobre el suero salino al 0,9% o el uso combinado con albúmina en la reanimación del paciente séptico siguen en debate. Probablemente estemos delante de otro punto en que deberíamos considerar siempre individualizar tanto el tipo como la cantidad de fluidos que se administran en las fases inicial y de mantenimiento en el tratamiento de la sepsis y el shock séptico. Fluid resuscitation is a crucial part of the treatment of hypotension and shock of any etiology. Particularly in septic shock, it is an essential element of the initial care bundle. Like all treatments in sepsis, it is also subject to multiple controversies: what type of fluid, how much, how long to administer it, potential risks, toxicity? The main guideline, the Surviving Sepsis Campaign, continues to indicate crystalloids as the main fluid in resuscitation. But the possibility of crystalloids balanced on 0.9% saline or combined use with albumin in the resuscitation of the septic patient is still under debate. This is probably another point where we should always consider individualizing both the type and amount of fluids to be administered in both the initial and maintenance phases of the management of sepsis and septic shock." @default.
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- W4283744227 date "2022-05-01" @default.
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- W4283744227 title "Fluidoterapia en la sepsis y el shock séptico" @default.
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- W4283744227 doi "https://doi.org/10.1016/j.medin.2022.03.012" @default.
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