Goal-directed therapy in the emergency department of patients with severe sepsis and septic shock.
نویسندگان
چکیده
Does goal directed therapy in the emergency department (ED) improve outcomes in patients with severe sepsis and septic shock? Knoblich B, et al. Early goal-directed therapy in the treatment of severe sepsis and septic shock. Objective To determine whether early goal-directed therapy (EGDT) before admission to the intensive care unit reduces the incidence of multiorgan dysfunction, mortality and the utilization of health care resources in patients with severe sepsis or septic shock.
منابع مشابه
Optimal Aminoglycoside Therapy Following the Sepsis: How Much Is Too Much?
Severe sepsis and septic shock are major problems as the result of high rates morbidity andmortality in intensive care units (ICUs). In the presence of septic shock, each hour of delay inthe administration of effective antibiotics is associated with a measurable increase in mortality.Aminoglycosides are effective broad-spectrum antibiotics that are commonly used in ICUs forthe treatment of life...
متن کاملOptimal Aminoglycoside Therapy Following the Sepsis: How Much Is Too Much?
Severe sepsis and septic shock are major problems as the result of high rates morbidity andmortality in intensive care units (ICUs). In the presence of septic shock, each hour of delay inthe administration of effective antibiotics is associated with a measurable increase in mortality.Aminoglycosides are effective broad-spectrum antibiotics that are commonly used in ICUs forthe treatment of life...
متن کاملImpact of time to antibiotics on survival in patients with severe sepsis or septic shock in whom early goal-directed therapy was initiated in the emergency department.
OBJECTIVE To study the association between time to antibiotic administration and survival in patients with severe sepsis or septic shock in whom early goal-directed therapy was initiated in the emergency department. DESIGN Single-center cohort study. SETTING The emergency department of an academic tertiary care center from 2005 through 2006. PATIENTS Two hundred sixty-one patients undergo...
متن کاملEarly goal-directed therapy in the treatment of severe sepsis and septic shock.
BACKGROUND Goal-directed therapy has been used for severe sepsis and septic shock in the intensive care unit. This approach involves adjustments of cardiac preload, afterload, and contractility to balance oxygen delivery with oxygen demand. The purpose of this study was to evaluate the efficacy of early goal-directed therapy before admission to the intensive care unit. METHODS We randomly ass...
متن کاملDetermination of the size of the different sepsis categories presenting to a UK teaching hospital emergency department.
AIM To establish the size of the population of patients presenting to a UK emergency department (ED) with systemic inflammatory response syndrome (SIRS), sepsis, severe sepsis and septic shock and to determine their mortality and length of stay. SETTING Southampton General Hospital Emergency Department, a teaching hospital treating 90,000 patients per annum. METHOD A retrospective audit of ...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- CJEM
دوره 4 4 شماره
صفحات -
تاریخ انتشار 2002