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