Fluidoterapia en el tratamiento del choque séptico en pacientes adultos. Revisión narrativa.

Abstract

Abstract: The deficient response of the host to the infection that the patient in a state of sepsis has, can result in hemodynamic compromise, called shock state. The initial approach to a patient in a state of septic shock is the cornerstone of their treatment and prognosis; Therefore, knowing the importance of the optimal dose and regimen for its management is of the utmost importance. The literature contemplates both restrictive and liberal therapies for the initial approach, however, it has been documented that excess fluid interferes with cell metabolism, while restrictive therapy may not be sufficient for optimal initial resuscitation but does not cause harm either. or exacerbation in the patient's condition. The fluid therapy regimen is also important at the time of administration, as the use of balanced crystalloid solutions is preferred over 0.9% NaCl.