Should We Stop Giving 30 mL/kg in Septic Shock? | TWPCCM

In this week’s episode of This Week in Pulmonary and Critical Care Medicine (TWPCCM), we review three important publications that could influence everyday pulmonary and ICU practice. Featured studies 1. Early Vasopressors vs Restrictive Fluids in Septic Shock New England Journal of Medicine Can early vasopressors replace aggressive fluid resuscitation? We review the ARISE FLUIDS randomized trial and discuss what it means for bedside septic shock management. ⸻ 2. Integrated Telehealth Rehabilitation After Mechanical Ventilation JAMA A multicenter randomized trial evaluating whether coordinated rehabilitation from the ICU through hospital discharge and into the home improves outcomes after critical illness. ⸻ 3. Clinical Approach to a Pleural Effusion CHEST An outstanding practical review that reminds us why diagnosing pleural disease requires more than simply interpreting Light’s criteria.