New User? Sign Up Free
SCCM is performing maintenance on its websites. For the best browsing experience, please use Microsoft Edge or Safari. Those using Chrome or Firefox may experience access issues at this time.
Updated global adult sepsis guidelines, released by the Surviving Sepsis Campaign (SSC), place an increased emphasis on improving the care of sepsis patients after they are discharged from the intensive care unit (ICU) and represent greater geographic and gender diversity than previous versions. The updated guidelines are especially important today, as many who are seriously ill with COVID-19 are particularly vulnerable to sepsis.
The Surviving Sepsis Campaign adult sepsis guidelines, published in Critical Care Medicine, reflect best practices and recommendations for the treatment of sepsis and septic shock in adults and are revised regularly to account for new research.
The new guidelines specially address challenges to treating patients experiencing the long-term effects of sepsis are also addressed in the guidelines. Patients often have lengthy ICU stays and then face a long and complicated road to recovery. In addition to physical rehabilitation challenges, patients and their families often are uncertain how to coordinate care that promotes recovery and matches their goals of care.
To address these issues, the guidelines recommend involving patients and their families in goals-of-care discussions and hospital discharge plans, which should include early and ongoing follow-up with clinicians to support and manage long-term effects and assessment of physical, cognitive, and emotional issues after discharge.
“Treatment for sepsis goes beyond in-hospital care,” said Laura E. Evans, MD, MSc, FCCM, SSC adult guidelines cochair. “Many sepsis survivors experience short- and long-term consequences such as cognitive or physical disability. Ongoing recovery can take months or years. It’s essential to develop a plan to address these long-term consequences when a patient is discharged.”
Early identification remains crucial to effective sepsis treatment. A new recommendation in the guidelines is to use a performance improvement program, including a screening tool such as the Systemic Inflammatory Response Syndrome (SIRS), National Early Warning Score (NEWS) or Modified Early Warning Score (MEWS), rather than the Quick Sequential Organ Failure Assessment (qSOFA).
“The guidelines emphasize that having a systematic applied screening process is essential to recognizing patients with sepsis early,” said Waleed Alhazzani, MD, MSc, FRCPC, adult guidelines methodology chair. “If you don’t look for it, you might miss sepsis, but the clock is ticking and time matters, so patients should constantly be reevaluated for where they are and what they need next.”
Long-term treatment recommendations include:
Posted: 10/4/2021 | 0 comments
Log in to Comment