Should We Do an Individual Management of Septic Shock in Neurocritically Ill Patients? A Proposal of a Conceptual Algorithm - PubMed
3 hours ago
- #Neurocritical Care
- #Septic Shock
- #Hemodynamic Optimization
- Septic shock (SS) is a severe condition with high mortality rates globally.
- Neurocritically ill patients are particularly vulnerable to developing SS, partly due to invasive neuromonitoring devices like external ventricular drainage (EVD).
- Early goal-directed therapy (EGDT) was initially recommended for SS management but is now debated due to high costs and patient heterogeneity.
- An individualized approach is proposed for managing SS in neurocritically ill patients to improve outcomes.
- A novel conceptual algorithm is suggested to optimize mean arterial pressure (MAP) and cerebral perfusion pressure (CPP) among other parameters.
- The algorithm aims to enhance the DO2/VO2 ratio and neurological outcomes in these patients.