scholarly journals Early goal directed therapy versus a protocolized resuscitation care in early management of septic shock

2021 ◽  
Vol 38 (1) ◽  
pp. 58-63
Author(s):  
Amr Abdalla Elsayed ◽  
Reham Abd Elhamid Ahmed ◽  
Bassem Nashaat Beshey
CHEST Journal ◽  
2006 ◽  
Vol 130 (5) ◽  
pp. 1579-1595 ◽  
Author(s):  
Ronny M. Otero ◽  
H. Bryant Nguyen ◽  
David T. Huang ◽  
David F. Gaieski ◽  
Munish Goyal ◽  
...  

This case focuses on detecting sepsis through early goal-directed therapies by asking the question: Does aggressive correction of hemodynamic disturbances in the early stages of sepsis improve outcomes? Early goal-directed therapies are aimed at restoring a balance between oxygen delivery and oxygen demand. Patients included in the study were adults presenting to the emergency room with severe sepsis or septic shock. Study results indicated that most patients with severe sepsis or septic shock should be managed with aggressive hemodynamic monitoring and support immediately on presentation in the emergency department (or, if this is not possible, in the intensive care unit) for 6 hours or until there is resolution of hemodynamic disturbances.


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