1 / 20

Michael Baram Medical Critical Care

Michael Baram Medical Critical Care. Relationship Between SIRS, Sepsis and Severe Sepsis. Other. Sepsis. Severe Sepsis. Pancreatitis. Infection. SIRS. Trauma. Burns. Bone RC, et al. Chest 1992;101:1644-55. Vincent JL. Crit Care Med 1997;25:372-4. Wall street journal.

ashtyn
Download Presentation

Michael Baram Medical Critical Care

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Michael BaramMedical Critical Care

  2. Relationship Between SIRS,Sepsis and Severe Sepsis Other Sepsis Severe Sepsis Pancreatitis Infection SIRS Trauma Burns Bone RC, et al. Chest 1992;101:1644-55. Vincent JL. Crit Care Med 1997;25:372-4.

  3. Wall street journal

  4. Surviving SepsisBundles • Sepsis Resusciation Bundle • Management Bundle • . • . • VentilatorBundle • .

  5. Surviving SepsisBundles • VentilatorBundle • Head of bed . • Oral Care . • Sedation Holiday . • Peptic Ulcer . • DVT Proph . • Sepsis Resusciation Bundle • Lactate . • Early Cultures . • Appropriate Abx . • Source Control . • Volume Expansion Cvp 8-12 . • PressorsMAP >65 . • Inotropes SCVO2 > 70 . (t/c blood) . • Management Bundle • Glycemic Control . • Activated Protein C . • Stress Steroids . • Limit Blood Products . • Limit Vent Stretch . • Limit Bicarb . pH<7.15 .

  6. Surviving SepsisBundles • VentilatorBundle • Head of bed • Oral Care • Sedation Holiday • Peptic Ulcer • DVT Proph. • Sepsis Resusciation Bundle • Lactate . • Early Cultures • Appropriate Abx • Source Control • Volume Expansion Cvp 8-12 • PressorsMAP >65 • Inotropes SCVO2 > 70 (t/c blood) • Management Bundle • Glycemic Control. • Activated Protein C • Stress Steroids. • Limit Blood Products • Limit Vent Stretch • Limit Bicarb pH<7.15

  7. Guidelines.pdf

  8. Lactate- Predictor of Mortality • Ann Emergency Med. 2005;45:524-528 • 1200 consecutive patients presenting with sepsis • Ann Emergency Med. 2005;45:524-528 • 1200 consecutive patients presenting with sepsis

  9. Early Appropriate ABX Kumar et al, Critical Care 2006 Jun 34 (6) 1589-96

  10. CVP failed to Predict: volume status

  11. Wrong Vent Setting normal lung 5 minutes (peak press 45) 20 min (peak 45) Dreyfuss Am. J. Respir. Crit. Care Med., Volume 157, Number 1, January 1998, 294-323

More Related