Discover and read the best of Twitter Threads about #survivingsepsis
Most recents (4)
Review the Executive Summary to see how the updated guidelines were developed and how they differ from the 2016 guidelines: bit.ly/3wuDOmw
#SurvivingSepsis
#SurvivingSepsis
As #MedTwitter regulars, you may have already heard that the #SurvivingSepsis Campaign has released the updated 2021 version of the International #Guidelines for Management of #Sepsis and #SepticShock!
But have you gone thru the updates yet?
A #Tweetorial (1/x):
But have you gone thru the updates yet?
A #Tweetorial (1/x):
There are 93 #recommendations made in the new publication. I don’t have time to write (or read) that kind of #Tweetorial and neither do you. That’s what the publication is for -> journals.lww.com/ccmjournal/Cit… !
But let’s hit the ✨highlights✨ starring Table 1: (2/x)
But let’s hit the ✨highlights✨ starring Table 1: (2/x)
Why we care (and we care so much!): Sepsis and septic shock affect millions of people globally each year, and kills somewhere between 1/6 and 1/3 of those diagnosed with the #syndrome. 1/3!!! 😳😢 (3/x)
#SurvivingSepsis Campaign Guidelines on
the Management of Critically Ill Adults with #Covid_19
COVID-19 THERAPY
Link: journals.lww.com/ccmjournal/Abs…
#sepsis @CritCareMed @SCCM
the Management of Critically Ill Adults with #Covid_19
COVID-19 THERAPY
Link: journals.lww.com/ccmjournal/Abs…
#sepsis @CritCareMed @SCCM
#COVID_19 shows Cytokine Storm Syndrome reminiscent of secondary hemophagocytic lymphohistiocytosis
Resp failure in #COVID_19 WO #ARDS - Don't use routine steroids
Resp failure in #COVID_19 with #ARDS- may use steroids shorter course, lower doses
#sepsis @CritCareMed @SCCM
Resp failure in #COVID_19 WO #ARDS - Don't use routine steroids
Resp failure in #COVID_19 with #ARDS- may use steroids shorter course, lower doses
#sepsis @CritCareMed @SCCM
Use empiric abx in hypoxic resp failure + #COVID_19
Identifying bacterial co-infection or superinfection
in pts with #COVID_19 is challenging
Co-infection 5-18% in MERS, Staph aureus common, virulent. Secondary infection 11%, may be Gram-ve organism
#sepsis @CritCareMed @SCCM
Identifying bacterial co-infection or superinfection
in pts with #COVID_19 is challenging
Co-infection 5-18% in MERS, Staph aureus common, virulent. Secondary infection 11%, may be Gram-ve organism
#sepsis @CritCareMed @SCCM
#twitterjournalclub
The ANDROMEDA- SHOCK Randomised Clinical Trial
Thoughts by @z_cepillo
jamanetwork.com/journals/jama/…
The ANDROMEDA- SHOCK Randomised Clinical Trial
Thoughts by @z_cepillo
jamanetwork.com/journals/jama/…
Multicentre (28) open label RCT to determine if peripheral perfusion targeted resuscitation during early septic shock in adults is more effective than a lactate-targeted resuscitation for reducing mortality.
Inclusion criteria: adult patients with septic shock (infection, lactate >2, vasopressors to maintain MAP >65mmHg after IV fluid of 20ml/kg over 60 mins.
