So called "elephant in the room" in septic shock is toxin associated vasodilation. Also contributing to reduced oxygen delivery is reduced contractility. Low O2 delivery to reduced O2 utilization to increased lactate levels is how I see it. Best generic antitoxin I know is calcium ascorbate ala the clinical guide and publications of Fred Klenner MD so 250-350mg/kg/day to remove toxins more rapidly restore vasotone and contractility. And cortisol(hydrocortisone) to support adrenal functions during the extreme stress of reduced oxygen utilization.

Posted 29 Aug, 2017 at 1:03

gao gan

I prefer the EGDT

Posted 18 Aug, 2017 at 12:40

-2

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