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To the Editor The proposed new definition of septic shock, part of the Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3), requires the simultaneous presence of hypotension and hyperlactatemia for making the diagnosis, instead of hypotension or hyperlactatemia.1 In our opinion, this is a step backward compared with previous definitions.
Hernández G, Machado F, Ospina-Tascón G. Defining Septic Shock. JAMA. 2016;316(4):454-455. doi:10.1001/jama.2016.6137