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        <div id="content-top1">Page 65 - Against Sepsis</div>
        <div id="content-top2">P. 65</div>
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    <pre style="white-space:pre-line"><code>Linee guida SSC 2016 â€“BUONE PRATICHE (Best practice statements- BPS)
 Tecniche di prova con i fluidi â€“ fluid challenge, frequente rivalutazione dello stato

                   emodinamico, ulteriore rivalutazione emodinamica

Continuare a bilanciare la rianimazione fluidica e la dose di vasopressori con attenzione al mantenimento della perfusione tissutale
e a minimizzare lâ€™edema interstiziale
Implementare le combinazioni di monitoraggio emodinamico (risposta della pressione sanguigna, della frequenza cardiaca; output
urinario; ECHO cardiotoracico; CVP, ScvO2; variazioneÂ  diÂ  pressione pulsatoria; normalizzazione della clearance del lattato) alle
misure dinaniche (risposta di flusso al bolo di fluidi o PLR) per aiutare nelle ulteriori scelte di rianimazione che possono includere
fluidi aggiuntivi o terapia inotropa
Considerare la rianimazione con albumina quando sono richiesti grandi volumi di cristalloidi per mantenere il volume intravascolare

                                                                                                                                65</code></pre>
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