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PedsCrit

Septic Shock with Dr. Scott Weiss Part 1

Apr 3, 2023
Dr. Scott Weiss, Associate Professor of Pediatrics and Pathology at Thomas Jefferson University and Chair of the Division of Pediatric Critical Care Medicine at Nemours Children’s Hospital, discusses fluid bolus therapy and accurate measurement of capillary refill in septic shock. The podcast also covers differentiating between warm and cold shock in pediatric sepsis, the importance of physical examination, and additional monitoring techniques used in ICU management.
36:07

Episode guests

Podcast summary created with Snipd AI

Quick takeaways

  • Tailoring fluid resuscitation and considering potential risks is crucial in septic patients.
  • Using additional methods like cardiac ultrasound helps accurately determine the physiological states of sepsis patients.

Deep dives

Fluid Resuscitation and Hemodynamic Assessment

Dr. Scott Weiss discusses the importance of individualizing fluid resuscitation and hemodynamic assessment in septic patients. The use of IV fluid boluses has been a long-standing practice, but the evidence supporting its benefit is complex. Observational studies have shown improved outcomes with fluid boluses, but the FEAST Trial, a randomized clinical trial, contradicted these findings by suggesting harm in some patients. Dr. Weiss emphasizes the need to tailor fluid resuscitation to each patient and to consider the limitations and potential risks associated with fluid therapy.

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