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

Dellinger, R. ; Carlet, Jean ; Masur, Henry ; Gerlach, Herwig ; Calandra, Thierry ; Cohen, Jonathan ; Gea-Banacloche, Juan ; Keh, Didier ; Marshall, John ; Parker, Margaret ; Ramsay, Graham ; Zimmerman, Janice ; Vincent, Jean-Louis ; Levy, M.

Intensive Care Medicine, 2004, Vol.30(4), pp.536-555 [Periódico revisado por pares]

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  • Título:
    Surviving Sepsis Campaign guidelines for management of severe sepsis and septic shock
  • Autor: Dellinger, R. ; Carlet, Jean ; Masur, Henry ; Gerlach, Herwig ; Calandra, Thierry ; Cohen, Jonathan ; Gea-Banacloche, Juan ; Keh, Didier ; Marshall, John ; Parker, Margaret ; Ramsay, Graham ; Zimmerman, Janice ; Vincent, Jean-Louis ; Levy, M.
  • Assuntos: Sepsis ; Severe sepsis ; Septic shock ; Sepsis syndrome ; Infection ; Guidelines ; Evidence-based medicine ; Surviving Sepsis Campaign
  • É parte de: Intensive Care Medicine, 2004, Vol.30(4), pp.536-555
  • Descrição: Byline: R. Phillip Dellinger (1,15), Jean M. Carlet (2), Henry Masur (3), Herwig Gerlach (4), Thierry Calandra (5), Jonathan Cohen (6), Juan Gea-Banacloche (8), Didier Keh (7), John C. Marshall (9), Margaret M. Parker (10), Graham Ramsay (11), Janice L. Zimmerman (12), Jean-Louis Vincent (13), M. M. Levy (14) Keywords: Sepsis; Severe sepsis; Septic shock; Sepsis syndrome; Infection; Guidelines; Evidence-based medicine; Surviving Sepsis Campaign 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. Author Affiliation: (1) Section of Critical Care Medicine, Cooper University Hospital, One Cooper Plaza, 393 Dorrance, Camden, NJ 08103, USA (2) Service de la Reanimation Polyvalente, Fondation Hopital Saint-Joseph, Paris, France (3) Critical Care Medicine, National Institutes of Health, Bethesda, MD, USA (4) Dept. for Anesthesiology & Critical Care Medicine, Vivantes-Klinikum Neukoelln, Berlin, Germany (5) Laboratoire de Maladies Infectieuses Dept. de Medecine Interne, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland (6) Brighton and Sussex Medical School, Falmer, United Kingdom (7) Clinic of Anesthesiology and Surgical Intensive Care Medicine, Charite, Campus Virchow-Clinic, Berlin, Germany (8) Infectious Disease Section, Experimental Transplantation and Immunology Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA (9) Toronto General Hospital, Toronto, Ontario, Canada (10) Pediatrics, SUNY at Stony Brook, Stony Brook, NY, USA (11) University Hospital, Mastricht, Netherlands (12) Department of Medicine, Baylor College of Medicine, Houston, TX, USA (13) Department of Intensive Care, Erasme University Hospital, Brussels, Belgium (14) Brown University School of Medicine, Providence, RI, USA (15) Cooper Health Systems, One Cooper Plaza, 393 Dorrance, Camden, NJ 08103, USA Article History: Registration Date: 02/02/2004 Received Date: 06/01/2004 Accepted Date: 29/01/2004 Online Date: 03/03/2004 Article note: This article is published jointly with Critical Care Medicine Electronic Supplementary Material Supplementary material is available in the online version of this articel at http://dx.doi.org/10.1007/s00134-004-2210-z Chairs: R. Phillip Dellinger, MD* Henry Masur, MD Jean M. Carlet, MD Herwig Gerlach, MD, PhD**. Committee members: Richard J. Beale, MD** Marc Bonten, MD Christian Brun-Buisson, MD Thierry Calandra, MD Joseph A. Carcillo, MD Jonathan Cohen, MD** Catherine Cordonnier, MD E. Patchen Dellinger, MD Jean-Francois Dhainaut, MD, PhD Roger G. Finch, MD Simon Finfer, MD Francois A. Fourrier, MD Juan Gea-Banacloche MD Maurene A. Harvey, RN, MPH** Jan A. Hazelzet, MD Steven M. Hollenberg, MD James H. Jorgensen, PhD Didier Keh, MD Mitchell M. Levy*, MD Ronald V. Maier, MD Dennis G. Maki, MD John J. Marini, MD John C. Marshall, MD Steven M. Opal, MD Tiffany M. Osborn, MD Margaret M. Parker, MD** Joseph E. Parrillo, MD Graham Ramsay, MD* Andrew Rhodes, MD Jonathan E. Sevransky, MD Charles L. Sprung, MD, JD** Antoni Torres, MD Jeffery S. Vender, MD Jean-Louis Vincent, MD, PhD** Janice L. Zimmerman, MD. Associate members: E. David Bennett, MD Pierre-Yves Bochud, MD Alain Cariou, MD Glenn S. Murphy, MD Martin Nitsun, MD Joseph W. Szokol, MD Stephen Trzeciak, MD Christophe Vinsonneau, MD. *Executive Committee, Surviving Sepsis Campaign. **Steering Committee, Surviving Sepsis Campaign. Sponsoring organizations: American Association of Critical-Care Nurses American College of Chest Physicians American College of Emergency Physicians American Thoracic Society Australian and New Zealand Intensive Care Society European Society of Clinical Microbiology and Infectious Diseases European Society of Intensive Care Medicine European Respiratory Society International Sepsis Forum Society of Critical Care Medicine Surgical Infection Society. The Surviving Sepsis Campaign is administered jointly by the European Society of Intensive Care Medicine, International Sepsis Forum, and the Society of Critical Care Medicine, and is supported in part by unrestricted educational grants from Baxter Bioscience, Edwards Lifesciences, and Eli Lilly and Company (majority sponsor). The authors and the publisher have exercised great care to ensure that drug dosages, formulas, and other information presented in this book are accurate and in accord with the professional standards in effect at the time of publication. Readers are, however, advised to always check the manufacturer's product information sheet that is packaged with the respective products to be fully informed of changes in recommended dosages, contraindications, and the like before prescribing or administering any drug.
  • Idioma: Inglês

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