Autor: |
Timothy A. Albertson, Edward A. Panacek, Jeffrey P. Green, Jason Yeates Adams |
Rok vydání: |
2013 |
Předmět: |
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Zdroj: |
Current Emergency and Hospital Medicine Reports. 1:154-171 |
ISSN: |
2167-4884 |
Popis: |
With the 2012 Surviving Sepsis Campaign Guidelines, clinicians have access to evidence based guidelines for the treatment of adults with severe sepsis. Some of the important changes include: new recommendations for screening of adults with sepsis for organ dysfunction (grade 1C); lactate normalization as a therapeutic target in early resuscitation (grade 2C); colloids no longer recommended for initial resuscitation (grade 1B); a minimum of 30 mL/kg for initial fluid resuscitation (grade 1C); norepinephrine as the initial vasopressor of choice (dopamine allowed only under specific circumstances) (grade 1B); removal of recombinant human activated protein C for the treatment of severe sepsis (ungraded); removal of permissive hypercapnea as a recommendation (ungraded); and a change of the target blood glucose level to |
Databáze: |
OpenAIRE |
Externí odkaz: |
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