A 1-day course after adequate drainage is sufficient and can be the standard treatment duration for acute cholangitis with source control.
Guidelines change?
Practice changing?
#ESCMIDGlobal2026
@IM_Crit_ Thanks for sharing. Shock index is something I’ll try to calculate mentally more often. I think it may better clue me into PIH risk and prompt me to resuscitate a bit more before intubation, when there’s enough time
@RafaelOliveLeit Crystalloids do not carry oxygen, so they do not raise CaO2. But in a preload-responsive patient they can increase SV and CO, which can increase DO2
@nickmmark@CritCareTime Thank you for another terrific episode, Dr Mark! Finished listening during my night shift. Pillars of Treatment should also emphasize Tx of underlying cause (in addition to insulin, lytes, fluids) otherwise that DKA may persist
@IM_Crit_ I would probably start a NE or Epi infusion given marginal BP while awaiting emergent cath. Activate the SHOCK team to discuss tMCS for RV support in the event of further deterioration