The study aims to compare the effects of restrictive fluid management on cardiac dysfunction and vascular integrity in septic shock patients. To achieve this, patients with septic shock according to Sepsis-3 criteria admitted to several Intensive Care Units in Sweden and Denmark will be randomized to receive restrictive respectively standard fluid therapy. Blood test from these patients will be analyzed for several biomarkers of cardiac function and glycocalyx degradation. Echocardiography will also be performed to further investigate cardiac function.
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Myocardial injury
Timeframe: Compare result within 24 hours of enrolment with day 2-3 and day 7-10 or at discharge
Hyaluronan levels
Timeframe: First morning after enrolment (within 24 hours from enrollment)