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Critical Care: Sepsis Diagnosis and Resuscitation |

Fluid Resuscitation of at Least 1 Liter in Septic Patients Decreases the Need for Renal Replacement Therapy Without Increasing the Risk of Acute Congestive Heart Failure or Acute Respiratory Failure

Aruna Jahoor, MD; Thomas Delmas, MD; Badri Giri, MD; Eneida Male, MD; Jessica Pruszynski, PhD; Lori Murdoch, RN; Alejandro Arroliga; Shekhar Ghamande, MD
Author and Funding Information

Texas A&M Health Baylor Scott and White, Temple, TX


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;150(4_S):349A. doi:10.1016/j.chest.2016.08.362
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SESSION TITLE: Sepsis Diagnosis and Resuscitation

SESSION TYPE: Original Investigation Slide

PRESENTED ON: Tuesday, October 25, 2016 at 11:00 AM - 12:15 PM

PURPOSE: The Third International Consensus Definitions task force defines sepsis as “life threatening organ dysfunction due to a dysregulated host response to infection.” Given this new definition, we studied septic patients with hypotension or lactate >=4 mmol/L to determine whether sepsis bundle compliance, emergency department length of stay (ED LOS), SOFA score, fluid administration and lactate clearance were associated with mortality, acute congestive heart failure, acute respiratory failure, acute renal failure, and renal replacement therapy.

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