Monday, January 12, 2009

Early goal directed therapy for sepsis---does the concept work?

Yes, according to this meta-analysis. Late goal directed therapy was no better than conventional strategies. This confirms what we already knew.

Old thinking is sepsis resuscitation: just give ‘em “lots” of fluids.

New thinking: treat to pre-defined hemodynamic goals, but do it early (starting in the ER).

No comments: