Surviving Sepsis Campaign guidelines for management of severe sepsis and septic shock.

Details

Serval ID
serval:BIB_31923
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Surviving Sepsis Campaign guidelines for management of severe sepsis and septic shock.
Journal
Intensive Care Medicine
Author(s)
Dellinger R.P., Carlet J.M., Masur H., Gerlach H., Calandra T., Cohen J., Gea-Banacloche J., Keh D., Marshall J.C., Parker M.M., Ramsay G., Zimmerman J.L., Vincent J.L., Levy M.M.
ISSN
0342-4642
Publication state
Published
Issued date
2004
Volume
30
Number
4
Pages
536-555
Language
english
Abstract
OBJECTIVE: To develop management guidelines for severe sepsis and septic shock that would be of practical use for the bedside clinician, under the auspices of the Surviving Sepsis Campaign, an international effort to increase awareness and improve outcome in severe sepsis. DESIGN: The process included a modified Delphi method, a consensus conference, several subsequent smaller meetings of subgroups and key individuals, teleconferences, and electronic-based discussion among subgroups and among the entire committee. The modified Delphi methodology used for grading recommendations built upon a 2001 publication sponsored by the International Sepsis Forum. We undertook a systematic review of the literature graded along 5 levels to create recommendation grades from A-E, with A being the highest grade. Pediatric considerations were provided to contrast adult and pediatric management. PARTICIPANTS. Participants included 44 critical care and infectious disease experts representing 11 international organizations. RESULTS. A total of 46 recommendations plus pediatric management considerations. CONCLUSIONS. Evidence-based recommendations can be made regarding many aspects of the acute management of sepsis and septic shock that will hopefully translate into improved outcomes for the critically ill patient. The impact of these guidelines will be formally tested and guidelines updated annually, and even more rapidly when some important new knowledge becomes available.
Keywords
Adult, Analgesia, Anti-Bacterial Agents, Bicarbonates, Blood Glucose, Cardiotonic Agents, Child, Humans, Hypnotics and Sedatives, Neuromuscular Blockade, Practice Guidelines as Topic, Renal Replacement Therapy, Respiratory Distress Syndrome, Adult, Sepsis, Shock, Septic, Steroids, Vasoconstrictor Agents
Pubmed
Web of science
Create date
19/11/2007 12:30
Last modification date
20/08/2019 13:16
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