This year will likely become known as the "Year of the Sepsis Debate." Here I will look at some highlights on sepsis and more generally on fluid resuscitation from Anesthesia and Critical Care tweets from the 4th International Fluid Academy (IFAD). From what I have read, there is a consensus on one key part of
Early Goal-Directed Therapy (EGDT): Early. Antoine Vieillard-Baron MD, PhD says it best in citing the importance of early, personalized therapy:
November 29, 2014 09:57 AM________________________________________
Paul Marik MD says fluids do play a key role (in fluid-responsive patients):
November 29, 2014 10:38 AM
But one can overdo anything - here Jean Louis Vincent MD, PhD says it best:
November 29, 2014 1:37 PM
There is much more online from IFAD, all valuable, but too much for this column.
I conclude with two questions, one coming from the IFAD discussion:
- How to best manage the non-fluid responsive sepsis patients (50%)?
And, one coming from the growing literature on cardiac dysfunction in sepsis:
- How do you best identify and manage these patients (also, 50%)?
You, the critical care clinicians are in the best position to offer the best answers.
All the best for a joyous Holiday Season and a Happy and productive New Year.