Surviving Sepsis 2021 Guidelines/campaign - an overview in 50 min
#SurvivingSepsisGuidelines2021 #latestsepsisguidlines
The above video is a walkthrough the latest 2021 surviving sepsis guidelines.
You can download the full document from here:
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0:00 Introduction about sepsis 2021 guidelines
2:20 Explanation of colour codes and legends to understand guidelines
3:36 Screening for patients with sepsis and septic shock
4:19 qSOFA as a sepsis screening tool or not?
6:00 lactate for screening of sepsis?
7:37 Initial resuscitation
9:15 initial volume of fluid resuscitation?
11:12 lactate as guiding tool for fluid resuscitation?
12:01 capillary refill time to guide fluid resuscitation?
12:58 mean arterial pressure (MAP) targets?
15:40 admission to ICU timings
16:01 infection
16:44 timing of empirical antibiotics in possible sepsis with shock
18:19 timing of empirical antibiotics in possible sepsis without shock
20:00 procalcitonin (PCT) usefulness in initiating empirical antibiotics
21:38 empirical antibiotics for MRSA?
23:06 empirical antibiotics for MDR gram negative sepsis?
24:33 antibiotics for MDR gram negative sepsis once culture report comes?
25:22 empirical antifungals?
25:41 empirical antivirals?
25:53 prolonged infusions for beta-lactams
26:33 optimizing doses according to pk/pd of drugs
27:14 source control
27:45 removal of intravascular access devices for source control?
28:14 daily assessment for de-escalation and duration of antibiotics therapy?
29:10 procalcitonin (PCT) usefulness in de-escalation of antibiotics therapy?
30:19 hemodynamic management, crystalloids vs colloids?
30:32 balanced fluids vs isotonic saline for resuscitation?
31:51 albumin use?
32:09 starches and gelatin use?
32:21 which vasopressors to be used in sepsis?
33:38 which vasopressors to be used in patients of cardiac dysfunction with sepsis?
34:25 levosimendan?
34:47 invasive arterial monitoring?
34:54 can vasopressors be started peripherally?
35:42 restrictive vs liberal fluids?
36:17 ventilation strategies in sepsis
38:42 corticosteroids use in sepsis?
40:16 hemoperfusion in sepsis?
40:32 restrictive vs liberal blood transfusion strategy?
41:02 immunoglobulins use in sepsis?
41:12 stress ulcer and thromboembolic prophylaxis in sepsis
42:00 renal replacement therapy in sepsis
42:52 sugar control in sepsis
43:01 high doses of vitamin c in sepsis
43:36 soda-bicarbonate in sepsis
44:40 timing of nutrition in sepsis
44:56 brief about long term outcomes and goal of care in sepsis
45:18 reconciling medications in discharge summary
46:35 antibiotics timing table
47:25 vasoactive agent management table
48:29 duration of therapy table
48:48 closure remarks
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