Septic shock specializing in the diagnosis and treatment of disorders of the lymphatic system2/21/2024 ![]() ![]() ![]() In septic shock, 3 randomized clinical trials demonstrate that protocolized care offers little advantage compared with management without a protocol. ![]() Focused ultrasonography is recommended for the prompt recognition of complicating physiology (eg, hypovolemia or cardiogenic shock), while invasive hemodynamic monitoring is recommended only for select patients. OBSERVATIONS AND ADVANCES: In the setting of suspected or documented infection, septic shock is typically defined in a clinical setting by low systolic (≤90 mm Hg) or mean arterial blood pressure (≤65 mm Hg) accompanied by signs of hypoperfusion (eg, oliguria, hyperlactemia, poor peripheral perfusion, or altered mental status). Septic shock is a clinical emergency that occurs in more than 230,000 US patients each year. ![]()
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