![]() ![]() Indeed, the proportion of ICU patients requiring vasopressor support has been shown to range between 35% and 95% (3). >Īlthough the proportion of hospitalized patients developing circulatory shock is only around 6% (1), it is much higher in patients admitted in the Intensive Care Unit (ICU) (2). They include hypovolemia because of fever and fluid restriction, systemic vasodilation because of sepsis and deep sedation (in mechanically ventilated patients), LV systolic dysfunction because of circulating cytokines, and RV dysfunction because of mechanical ventilation with positive end-expiratory pressure (PEEP) and/or pulmonary embolism. However, I was surprised they did not discuss the value of echocardiography in the assessment and diagnosis section, nor fluid management in the treatment section.ĬOVID-19 patients have several reasons to become hemodynamically unstable. about the diagnosis and treatment of coronavirus disease 2019 (COVID-19). I read with great interest the review by Wiersinga et al. Shared Decision Making and Communication. ![]()
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