Lies, Damned Lies, and Sepsis Bundles

Lies, Damned Lies, and Sepsis Bundles

The Surviving Sepsis Campaign recently released an update to the bundles of care it recommends for "sepsis" patients. You may have heard of the three-hour bundle, which essentially means that you do a bunch of stuff (lactate,... read more

The Effect of Alcohol Consumption on the Risk of ARDS

The Effect of Alcohol Consumption on the Risk of ARDS

Chronic high alcohol consumption significantly increases the risk of ARDS. This finding suggests that patients admitted to hospital should be screened for chronic alcohol use. Seventeen observational studies (177,674 people)... read more

Rapid, Positive Growth of Sepsis Coordinator Network Proves Need

Rapid, Positive Growth of Sepsis Coordinator Network Proves Need

Almost 1,000 healthcare professionals have joined the Sepsis Coordinator Network since its launch two months ago. There’s a saying that teamwork divides the task and multiplies the success and if the Sepsis Coordinator... read more

Sepsis is a Preventable Public Health Problem

Sepsis is a Preventable Public Health Problem

There is a paradigm shift happening for sepsis. Sepsis is no longer solely conceptualized as problem of individual patients treated in emergency departments and intensive care units but also as one that is addressed as public... read more

Association Between the New York Sepsis Care Mandate and In-Hospital Mortality for Pediatric Sepsis

Association Between the New York Sepsis Care Mandate and In-Hospital Mortality for Pediatric Sepsis

In New York State following a mandate for sepsis care, completion of a sepsis bundle within 1 hour compared with not completing the 1-hour sepsis bundle within 1 hour was associated with lower risk-adjusted in-hospital mortality... read more

Pediatric Sepsis Care Within an Hour Decreases Chance of Death

Pediatric Sepsis Care Within an Hour Decreases Chance of Death

More than one in 10 children hospitalized with sepsis die, but when a series of clinical treatments and tests is completed within an hour of its detection, the chances of survival increase considerably, according to a new... read more

MAP of 65: Target of the Past?

MAP of 65: Target of the Past?

Septic shock is defined as sepsis with hypotension refractory to fluid challenge and requiring vasopressor support combined with an increase in arterial lactate reflecting impaired cellular energy metabolism and dysoxia.... read more

Vascular Effects of Adrenomedullin and the Anti-Adrenomedullin Antibody Adrecizumab in Sepsis

Vascular Effects of Adrenomedullin and the Anti-Adrenomedullin Antibody Adrecizumab in Sepsis

Sepsis remains a major scientific and medical challenge, for which, apart from significant refinements in supportive therapy, treatment has barely changed over the last few decades. During sepsis, both vascular tone and vascular... read more

Choice of Fluid Therapy in the Initial Management of Sepsis, Severe Sepsis, and Septic Shock

Choice of Fluid Therapy in the Initial Management of Sepsis, Severe Sepsis, and Septic Shock

Sepsis results in disruption of the endothelial glycocalyx layer and damage to the microvasculature, resulting in interstitial accumulation of fluid and subsequently edema. Fluid resuscitation is a mainstay in the initial... read more

Mitochondrial Function in Sepsis

Mitochondrial Function in Sepsis

The authors were tasked with developing five specific questions regarding mitochondrial function in sepsis within the context of the Acute Dialysis Quality Initiative 14 (ADQI XIV) meeting held in Bogotá, Colombia, in late... read more

Early application of continuous HVHF can reduce sepsis and improve the prognosis of patients with severe burns

Early application of continuous HVHF can reduce sepsis and improve the prognosis of patients with severe burns

Early application of high-volume haemofiltration (HVHF) benefits patients with severe burns, especially for those with a greater burn area (≥ 80% TBSA), decreasing the incidence of sepsis and mortality. This effect may... read more

Timing of Renal Support and Outcome of Septic Shock and ARDS

Timing of Renal Support and Outcome of Septic Shock and ARDS

Early RRT initiation strategy was not associated with any improvement of 60-day mortality in patients with severe acute kidney injury and septic shock or Acute Respiratory Distress Syndrome (ARDS). Unnecessary and potentially... read more

Health-related Outcomes of Critically Ill Patients With and Without Sepsis

Health-related Outcomes of Critically Ill Patients With and Without Sepsis

Critically ill patients with sepsis have higher healthcare resource use and costs but similar survival and HRQoL compared to matched patients without sepsis. We conducted a primary propensity score matched analysis of patients... read more

Presenting Symptoms Independently Predict Mortality in Septic Shock

Presenting Symptoms Independently Predict Mortality in Septic Shock

More than one third of patients with septic shock presented to the emergency department with vague symptoms that were not specific to infection. These patients had delayed antibiotic administration and higher risk of mortality... read more