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The Role of Fluid Replacement in Acute Endotoxin Shock

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Shock and the Adult Respiratory Distress Syndrome

Part of the book series: Current Concepts in Critical Care ((CRITICAL CARE))

Abstract

While it is generally agreed that volume replacement is one of the most important aspects of the treatment of septic shock, the choice of the volume substitute continues to be the subject of controversy. In this chapter we shall review some of the more relevant literature concerning volume replacement and the pathophysiology of septic shock. In addition, new aspects of hyperdynamic endotoxaemia evolving from a recently developed experimental model in the pig are discussed with respect to the effects of volume substitution using either Ringer’s lactate or dextran 60.

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Authors
  1. U. Kreimeier
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  2. Zh. Yang
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  3. K. Messmer
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Editor information

Editors and Affiliations

  1. Department of Anaesthesia, Charing Cross and Westminster Medical School, Fulham Palace Road, London, W6 8RF, England

    Wolfgang Kox MD (Senior Lecturer, Honorary Consultant Anaesthetist (Director, Intensive Care Unit) (Senior Lecturer, Honorary Consultant Anaesthetist (Director, Intensive Care Unit)

  2. Charing Cross Hospital, Fulham Palace Road, London, W6 8RF, England

    Wolfgang Kox MD (Senior Lecturer, Honorary Consultant Anaesthetist (Director, Intensive Care Unit) (Senior Lecturer, Honorary Consultant Anaesthetist (Director, Intensive Care Unit)

  3. Department of Medicine, The Middlesex Hospital Medical School, Mortimer Street, London, W1P 7PN, England

    David Bihari MA, MRCP (Lecturer in Medicine) (Lecturer in Medicine)

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© 1988 Springer-Verlag Berlin Heidelberg

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Kreimeier, U., Yang, Z., Messmer, K. (1988). The Role of Fluid Replacement in Acute Endotoxin Shock. In: Kox, W., Bihari, D. (eds) Shock and the Adult Respiratory Distress Syndrome. Current Concepts in Critical Care. Springer, London. https://doi.org/10.1007/978-1-4471-1443-7_13

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  • DOI: https://doi.org/10.1007/978-1-4471-1443-7_13

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-1445-1

  • Online ISBN: 978-1-4471-1443-7

  • eBook Packages: Springer Book Archive

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