This article is available to subscribers. Subscribe now. Already have an account? Sign in

EditorialFree Preview

Intravenous Fluids in Septic Shock — More or Less?

List of authors.
  • Lauralyn A. McIntyre, M.D., M.H.Sc.,
  • and John C. Marshall, M.D.

…soon the sharpened features, and sunken eye, and fallen jaw, pale and cold, bearing the manifest impress of death’s signet, began to glow with returning animation…. During the British cholera epidemic of 1831, William O’Shaughnessy reported that the blood of victims “has lost a large portion of its water…a great proportion of its neutral saline ingredients” and that “of the free alkali contained in healthy serum, not a particle is present in some cholera cases.”1 He advocated for the restoration of the missing water and salts, an approach that was embraced by the Scottish general practitioner Thomas Latta, who reported . . .

Continue reading this article

Select an option below:

Create your account to get 2 free subscriber-only articles each month.

Get Free Access Now Subscribe For Full Access

Already have an account?

Sign In

Print subscriber?

Activate your online access.

Funding and Disclosures

Disclosure forms provided by the authors are available with the full text of this editorial at NEJM.org.

This editorial was published on June 17, 2022, at NEJM.org.

Author Affiliations

From the Ottawa Hospital Research Institute, and the Department of Medicine (Critical Care), University of Ottawa — both in Ottawa, Canada (L.A.M.); and the Department of Surgery, St. Michael’s Hospital, University of Toronto, Toronto (J.C.M.).