Treatment of Sepsis in the Surgical Intensive Care Unit

被引:0
作者
Carney, Daniel E. [2 ]
Matsushima, Kazuhide [1 ]
Frankel, Heidi L. [3 ]
机构
[1] Penn State Milton S Hershey Med Ctr, Div Trauma Acute Care & Crit Care Surg, Hershey, PA 17033 USA
[2] Wellspan Hlth, York, PA USA
[3] Univ Maryland, Shock Trauma Ctr, Baltimore, MD 21201 USA
来源
ISRAEL MEDICAL ASSOCIATION JOURNAL | 2011年 / 13卷 / 11期
关键词
sepsis; intensive care unit (ICU); glucose control; steroids; parenteral nutrition; ACTIVATED PROTEIN-C; CRITICALLY-ILL; PARENTERAL-NUTRITION; INSULIN THERAPY; STRESS HYPERGLYCEMIA; CAMPAIGN GUIDELINES; ENTERAL NUTRITION; GLYCEMIC CONTROL; GLUCOSE CONTROL; SEPTIC SHOCK;
D O I
暂无
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Since the Surviving Sepsis Campaign Guidelines (SSG) were published in 2004, critical care physicians can readily access the evidence and current recommendations regarding management of patients with severe sepsis and septic shock. However, several issues including a potential conflict of interest in developing the guidelines were disclosed. There have also been dramatic changes in the management of sepsis, supported by high levels of evidence. SSG 2008 was developed to update the evidence using a new grading system. We reviewed select topics, routinely addressed by intensivists in the surgical intensive care unit, that have changed between SSG 2004 and SSG 2008: namely, glucose control, and administration of steroids, recombinant human activated protein C (rhAPC) and total parenteral nutrition. IMAJ 2011; 13:694-699
引用
收藏
页码:694 / 699
页数:6
相关论文
共 37 条
[21]   Grading strength of recommendations and quality of evidence in clinical guidelines -: Report from an American College of Chest Physicians task force [J].
Guyatt, G ;
Gutterman, D ;
Baumann, MH ;
Addrizzo-Harris, D ;
Hylek, EM ;
Phillips, B ;
Raskob, G ;
Lewis, SZ ;
Schünemann, H .
CHEST, 2006, 129 (01) :174-181
[22]  
Kalfarentzos F, 1997, BRIT J SURG, V84, P1665, DOI 10.1002/bjs.1800841207
[23]   ENTERAL VERSUS PARENTERAL-FEEDING - EFFECTS ON SEPTIC MORBIDITY AFTER BLUNT AND PENETRATING ABDOMINAL-TRAUMA [J].
KUDSK, KA ;
CROCE, MA ;
FABIAN, TC ;
MINARD, G ;
TOLLEY, EA ;
PORET, HA ;
KUHL, MR ;
BROWN, RO .
ANNALS OF SURGERY, 1992, 215 (05) :503-513
[24]  
MATSUSHIMA K, AM J SURG IN PRESS
[25]   A metaanalysis of treatment outcomes of early enteral versus early parenteral nutrition in hospitalized patients [J].
Peter, JV ;
Moran, JL ;
Phillips-Hughes, J .
CRITICAL CARE MEDICINE, 2005, 33 (01) :213-220
[26]   A prospective randomised multi-centre controlled trial on tight glucose control by intensive insulin therapy in adult intensive care units: the Glucontrol study [J].
Preiser, Jean-Charles ;
Devos, Philippe ;
Ruiz-Santana, Sergio ;
Melot, Christian ;
Annane, Djillali ;
Groeneveld, Johan ;
Iapichino, Gaetano ;
Leverve, Xavier ;
Nitenberg, Gerard ;
Singer, Pierre ;
Wernerman, Jan ;
Joannidis, Michael ;
Stecher, Adela ;
Chiolero, Ren .
INTENSIVE CARE MEDICINE, 2009, 35 (10) :1738-1748
[27]   Evaluation of clinical practice guidelines on outcome of infection in patients in the surgical intensive care unit [J].
Price, J ;
Ekleberry, A ;
Grover, A ;
Melendy, S ;
Baddam, K ;
McMahon, J ;
Villalba, M ;
Johnson, M ;
Zervos, MJ .
CRITICAL CARE MEDICINE, 1999, 27 (10) :2118-2124
[28]   Influence of individual characteristics on outcome of glycemic control in intensive care unit patients with or without diabetes mellitus [J].
Rady, MY ;
Johnson, DJ ;
Patel, BM ;
Larson, JS ;
Helmers, RA .
MAYO CLINIC PROCEEDINGS, 2005, 80 (12) :1558-1567
[29]   Evidence based medicine: What it is and what it isn't - It's about integrating individual clinical expertise and the best external evidence [J].
Sackett, DL ;
Rosenberg, WMC ;
Gray, JAM ;
Haynes, RB ;
Richardson, WS .
BRITISH MEDICAL JOURNAL, 1996, 312 (7023) :71-72
[30]   Tight glycemic control in critically injured trauma patients [J].
Scalea, Thomas M. ;
Bochicchio, Grant V. ;
Bochicchio, Kelly M. ;
Johnson, Steven B. ;
Joshi, Manjari ;
Pyle, Anne .
ANNALS OF SURGERY, 2007, 246 (04) :605-612