Effect of fluid resuscitation on mortality and organ function in experimental sepsis models.docVIP

Effect of fluid resuscitation on mortality and organ function in experimental sepsis models.doc

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Effect of fluid resuscitation on mortality and organ function in experimental sepsis models

Available online /content/13/6/R186 Research Open Access Vol 13 No 6 Effect of fluid resuscitation on mortality and organ function in experimental sepsis models Sebastian Brandt1, Tomas Regueira2*, Hendrik Bracht2*, Francesca Porta2, Siamak Djafarzadeh2, Jukka Takala2, José Gorrasi2, Erika Borotto2, Vladimir Krejci1, Luzius B Hiltebrand1, Lukas E Bruegger3, Guido Beldi3, Ludwig Wilkens5, Philipp M Lepper2, Ulf Kessler4 and Stephan M Jakob2 1Department of Anaesthesia and Pain Therapy, Inselspital, Bern University Hospital and University of Bern, CH-3010 Bern, Switzerland 2Department of Intensive Care Medicine, Inselspital, Bern University Hospital and University of Bern, CH-3010 Bern, Switzerland 3Department of Visceral and Transplant Surgery, Inselspital, Bern University Hospital and University of Bern, CH-3010 Bern, Switzerland 4Department of Pediatric Surgery, Inselspital, Bern University Hospital and University of Bern, CH-3010 Bern, Switzerl 5Institute of Pathology, University of Bern, Murtenstrasse 31, CH-3010 Bern, Switzerland * Contributed equally Corresponding author: Stephan M Jakob, Stephan.Jakob@insel.ch Received: 31 Jul 2009 Revisions requested: 21 Sep 2009 Revisions received: 12 Oct 2009 Accepted: 23 Nov 2009 Published: 23 Nov 2009 Critical Care 2009, 13:R186 (doi:10.1186/cc8179) This article is online at: /content/13/6/R186 ? 2009 Brandt et al.; licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Introduction Several recent studies have shown that a positive fluid balance in critical illness is associated with worse outcome. We tested the effects of moderate vs. high-volume resuscitation strategies on mortality, systemic and regional blood flows, Results Mortality in high-volume groups was 87% (peritoni

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