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Journal ArticleDOI

Comparison of 6% hydroxyethyl starch 130/0.4 and saline solution for resuscitation of the microcirculation during the early goal-directed therapy of septic patients.

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TLDR
It is shown that 6% hydroxyethyl starch (HES) 130/0.4 achieves a better resuscitation of the microcirculation than normal saline solution (SS) during early goal-directed therapy (EGDT) in septic patients.
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This article is published in Journal of Critical Care.The article was published on 2010-12-01. It has received 134 citations till now. The article focuses on the topics: Hydroxyethyl starch & Microcirculation.

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Citations
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Journal ArticleDOI

Colloids versus crystalloids for fluid resuscitation in critically ill patients

TL;DR: There is no evidence from randomised controlled trials that resuscitation with colloids reduces the risk of death, compared to resuscitate with crystalloids, in patients with trauma, burns or following surgery.
Journal ArticleDOI

Association of Hydroxyethyl Starch Administration With Mortality and Acute Kidney Injury in Critically Ill Patients Requiring Volume Resuscitation: A Systematic Review and Meta-analysis

TL;DR: In critically ill patients requiring acute volume resuscitation, use of hydroxyethyl starch compared with other resuscitation solutions was not associated with a decrease in mortality and clinical use ofHydroxyethyl starch for acuteVolume resuscitation is not warranted due to serious safety concerns.
Journal ArticleDOI

Microcirculatory alterations in patients with severe sepsis: impact of time of assessment and relationship with outcome.

TL;DR: Microcirculatory alterations are stronger predictors of outcome than global hemodynamic variables in patients with severe sepsis.
Journal ArticleDOI

Hemodynamic coherence and the rationale for monitoring the microcirculation

TL;DR: A personal viewpoint of the shortcoming of conventional hemodynamic resuscitation procedures in achieving organ perfusion and tissue oxygenation following conditions of shock and cardiovascular compromise is presented, and how to optimize the volume of fluid to maximize the oxygen-carrying capacity of the microcirculation to transport oxygen to the tissues is proposed.
References
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Journal ArticleDOI

Definitions for Sepsis and Organ Failure and Guidelines for the Use of Innovative Therapies in Sepsis

TL;DR: An American College of Chest Physicians/Society of Critical Care Medicine Consensus Conference was held in Northbrook in August 1991 with the goal of agreeing on a set of definitions that could be applied to patients with sepsis and its sequelae as mentioned in this paper.
Journal ArticleDOI

Early Goal-Directed Therapy in the Treatment of Severe Sepsis and Septic Shock

TL;DR: This study randomly assigned patients who arrived at an urban emergency department with severe sepsis or septic shock to receive either six hours of early goal-directed therapy or standard therapy (as a control) before admission to the intensive care unit.

Surviving sepsis campaign: international guidelines for the management of severe sepsis and septic shock: 2008

TL;DR: To provide an update to the original Surviving Sepsis Campaign clinical management guidelines, the GRADE system was used to guide assessment of quality of evidence from high (A) to very low (D) and to determine the strength of recommendations.
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