Volumentherapie in der Sepsis: Wann ist das Limit erreicht?

Translated title of the contribution: Volume resuscitation in severe sepsis: What is the limit?

Elke Muhl*

*Corresponding author for this work
1 Citation (Scopus)


Background: The endpoints of volume resuscitation in severe sepsis and septic shock are still a subject of discussion at the bedside. Method: Based on guidelines and current literature, recommended end points as well as the results and side effects of volume resuscitation are reported on. Results: If volume resuscitation is not successful within 6 h, additional hemodynamic monitoring is recommended for measuring surrogate parameters of tissue oxygenation and preload as well as for predicting volume responsiveness. Over-resuscitation may result in anasarca and life-threatening side effects such as fluid lung, abdominal compartment syndrome, and decrease in cardiac output. Conclusion: Adverse effects of volume resuscitation and over-resuscitation are not always avoidable; however, adequate monitoring may limit negative effects on the patients' outcome.

Translated title of the contributionVolume resuscitation in severe sepsis: What is the limit?
Original languageGerman
JournalViszeralmedizin: Gastrointestinal Medicine and Surgery
Issue number1
Pages (from-to)34-40
Number of pages7
Publication statusPublished - 01.01.2013
Externally publishedYes


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