Search Tag: septic shock

ICU Management

#EA19: Resuscitation in septic shock: is less better?

2019 03 Jun

On Day 2 of the Euroanaesthesia Congress 2019 (#EA19), there was a session on Resuscitation in septic shock: is less better? Three key speakers Gernot Marx (Aachen, Germany), Claude Martin (Marseille, France) and Jean-Louis Vincent (Brussels, Belgium), spoke about less fluid, less vasopressors and less inotropes in septic shock. The central message... Read more

ICU Management

New approach in managing patients with septic shock

2019 23 Apr

Sepsis remains the most common cause of vasodilatory shock worldwide. The mainstay of haemodynamic treatment of septic shock is fluid resuscitation followed by vasopressors where fluids alone are insufficient to achieve target blood pressure.  This article, published in the journal Critical Care, proposes the concept of “broad spectrum vasopressors”... Read more

ICU Management

Vasopressin reduces septic shock deaths but...

2019 18 Mar

A Chinese research team performed a meta-analysis and trial sequential analysis of randomised controlled trials (RCTs) evaluating the effects of vasopressin receptor agonists in septic shock patients. Their findings show the use of vasopressin might result in reduced mortality in these patients, but an increased risk of digital ischaemia must be taken... Read more

ICU Management

New findings on resuscitating patients with septic shock

2019 27 Feb

Among patients with septic shock, a resuscitation strategy targeting normalisation of capillary refill time, compared with a strategy targeting serum lactate levels, did not reduce all-cause 28-day mortality. These findings from the ANDROMEDA-SHOCK randomised clinical trial do not support the use of a peripheral perfusion-targeted resuscitation strategy... Read more

ICU Management

Volume 18 - Issue 3, 2018

2018 16 Oct

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ICU Management

Advances in source control in patients with sepsis and septic shock

2018 16 Oct

In the past decades there have been significant advances in the diagnosis and management of patients with sepsis and septic shock, and overall awareness has increased significantly (Angus and van der Poll 2013). Emphasis is currently on the early detection of sepsis and rapid initiation of fluid administration and antibiotic therapy, all of which... Read more

ICU Management

What’s new in sepsis in children?

2018 16 Oct

The latest in diagnosis and treatment. Sepsis is a life-threatening condition in children. Current paediatric definitions are based on systemic inflammatory response syndrome. Since the publication of the third international consensus definitions for sepsis and septic shock for adults, efforts in paediatrics are focused on finding a definition... Read more

ICU Management

Sepsis process and outcomes improvement associated with mandatory reporting

2018 13 Sep

A state-wide mandated public reporting of compliance with protocols to treat severe sepsis and septic shock appears to improve care and reduce mortality, according to new research published online in the American Thoracic Society's American Journal of Respiratory and Critical Care Medicine. In "Mortality Changes Associated with Mandated Public... Read more

ICU Management

Sepsis-3: Impact on Previously Defined Septic Shock Patients

2017 22 Aug

In a new analysis, 57% of patients meeting old definition for septic shock did not meet Sepsis-3 criteria. Although Sepsis-3 criteria identified a group of patients with increased organ failure and higher mortality, those patients who met the old criteria and not Sepsis-3 criteria still demonstrated significant organ failure and 14% mortality rate.... Read more

ICU Management

Sepsis E-alert System with Response Team Improves Outcomes

2017 13 Jun

According to a new study, the use of a multifaceted intervention including an electronic sepsis alert (e-alert) system with sepsis response team was associated with improvement in care processes of sepsis and septic shock and patient outcomes. The findings are reported in the journal Annals of Intensive Care. Although sepsis is a leading cause of... Read more