Why the study?
Does a high dose of norepinephrine increase the haemodynamic effect of volume expansion on mean systemic pressure in septic shock compared to a low dose?
Does a high dose of norepinephrine increase the haemodynamic effect of volume expansion on mean systemic pressure in septic shock compared to a low dose?
Higher doses of norepinephrine potentiate the haemodynamic response to volume expansion in patients with septic shock.
Suggests norepinephrine may modulate fluid responsiveness in septic shock; hypothesis-generating and requires prospective validation before practice change.
Norepinephrine enhances the Pms increase induced by PLR. These results suggest that a bolus of fluid of the same volume has a greater haemodynamic effect at a high dose than at a low dose of norepinephrine during septic shock.
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Adda et al. (2021) studied this question.
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