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Fluid Therapy for Critically Ill Adults With Sepsis

JAMA Clinical Reviews

CHAPTER

The Different Phases of Fluid Therapy

Your reviewer article discusses how fluid therapy can be conceptualized as four overlapping phases, resuscitation, optimization, stabilization, and evacuation. Could you discuss those different phases? So the resuscitation phase is when patient is initial phase, when patients are admitted to the hostel and on the ER in the very first hours after a septic event. In that phase, your major concern or a main target is to increase tissue perfusion by giving foot bows or optimizing immunomics using vasopressors or inotropes. This is a short phase where you should aim to normalize targets for a septation. Then right when the patient is a little bit more stable, let's say you move

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