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Marin H. Kollef, MD, FCCP
Author and Funding Information

Affiliations: Dr. Kollef is Professor of Medicine, Washington University School of Medicine.

Correspondence to: Marin H. Kollef, MD, FCCP, Washington University School of Medicine, Pulmonary and Critical Care, 660 S Euclid Ave, Box 8052, St. Louis, MO 63110-1093; e-mail: mkollef@im.wustl.edu


Financial/nonfinancial disclosures: The author has reported to the ACCP that no significant conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (www.chestjournal.org/site/misc/reprints.xhtml).


© 2009 American College of Chest Physicians


Chest. 2009;136(6):1705-1706. doi:10.1378/chest.09-1776
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To the Editor:

I would like to thank Dr. Manthous for his comments regarding our article and also to acknowledge his group's contributions to this area of investigation. We agree that optimal fluid management in patients with septic shock and ARDS can improve patient outcomes.1 Further clinical studies are needed to determine whether variances exist in the fluid management of such patients across many hospitals and how these variances are related to clinical outcomes. Such outcome studies, focusing on routine management issues and the supportive care of critically ill patients, have the potential to not only improve patient care, but also to reduce health-care costs.

Murphy CV, Schramm GE, Doherty JA, et al. The importance of fluid management in acute lung injury secondary to septic shock. Chest. 2009;136:102-109. [PubMed] [CrossRef]
 

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Murphy CV, Schramm GE, Doherty JA, et al. The importance of fluid management in acute lung injury secondary to septic shock. Chest. 2009;136:102-109. [PubMed] [CrossRef]
 
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