- Joined
- May 16, 2005
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So to the Critical Care guys here, now that the ProMISe Trial (as well as the Process and Arise trials) has finally been published, what's happening at your institutions? Has it caused any major changes in the way Sepsis is managed? I realize in the surgical setting, most patients already have lines, but are you routinely drawing ScvO2s still? Or transfusing?
The Surviving Sepsis Campaign will likely update their stance to take into account the current evidence. They say right now that since there is no harm in the use of EGDT, the bundles can still be used, until their latest revision is published. But it looks like EGDT may have fallen by the wayside, as long as fluids and antibiotics are started early.
The hospitals that I trained at had pocket-cards with the old Rivers protocol on them. They've since been destroyed and I think our computer systems managers are in the process of updating the sepsis/shock order sets that we have.
Just curious to see the response. Plus, I deliberately posted here, rather than the CC Forum. Those guys are welcome to post, too, but I was curious to hear the opinions of other Anesthesiologists, both general, CCM, or interest in CCM.
The Surviving Sepsis Campaign will likely update their stance to take into account the current evidence. They say right now that since there is no harm in the use of EGDT, the bundles can still be used, until their latest revision is published. But it looks like EGDT may have fallen by the wayside, as long as fluids and antibiotics are started early.
The hospitals that I trained at had pocket-cards with the old Rivers protocol on them. They've since been destroyed and I think our computer systems managers are in the process of updating the sepsis/shock order sets that we have.
Just curious to see the response. Plus, I deliberately posted here, rather than the CC Forum. Those guys are welcome to post, too, but I was curious to hear the opinions of other Anesthesiologists, both general, CCM, or interest in CCM.
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