Persistent sepsis-induced hypotension without hyperlactatemia: is it really septic shock?

@article{Hernndez2011PersistentSH,
  title={Persistent sepsis-induced hypotension without hyperlactatemia: is it really septic shock?},
  author={Glenn Hern{\'a}ndez and Ricardo Flores Castro and Carlos Romero and Claudio de la Hoz and Daniela Fern{\'a}ndez {\'A}ngulo and Ignacio Aranguiz and Jorge F Larrondo and Andres Bujes and Alejandro Bruhn},
  journal={Journal of critical care},
  year={2011},
  volume={26 4},
  pages={
          435.e9-14
        }
}
PURPOSE The prognostic value of hyperlactatemia in septic shock is unquestionable. However, as current definitions do not include hyperlactatemia as a mandatory criterion, some hypotensive patients may be diagnosed as having septic shock despite exhibiting normolactatemia. The significance of persistent sepsis-induced hypotension without hyperlactatemia is unclear. Is it really septic shock? Our aim was to determine differences in outcome between patients diagnosed as having septic shock but… CONTINUE READING
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