Beyond the fluid bolus

In a recent study published in Critical Care, Roger and colleagues (1) evaluated the time course of the response to a fluid bolus in patients suffering from septic shock in 11 intensive care units in France. The authors prospectively included adult patients with septic shock in whom the physician caring for the patient planned a fluid bolus due to persistent hypotension, decreased central venous oxygenation, decreased urine output, skin mottling or increased lactate.