Fluid management in septic shock

Abstract

Both relative (due to vasodilatation and leaky capillaries) and absolute hypovolemia are common in patients with septic shock, and fluid infusion remains the first-line resuscitation measure. However, fluid overload is a potential consequence of fluid infusion, especially left unmonitored. Early vasopressor infusion may be useful in specific situation. Every effort should be made to limit cumulative fluid balance in every stage of resuscitation.