2018年6月28日 星期四

1-Hour Bundle for Sepsis: SSC 2018 Update


SSC Hour-1 Bundle

The most important change in the revision of the SSC bundles is that the 3-h and 6-h bundles have been combined into a single “hour-1 bundle” with the explicit intention of beginning resuscitation and management immediately.
  • Measure lactate level. If initial lactate > 2mmol/L, it should be re-measured within 2−4 h to guide resuscitation to normalize lactate. 
  • Obtain blood cultures prior to administration of antibiotics.
  • Administer broad-spectrum antibiotics.
  • Rapidly administration of 30 mL/kg crystalloid for hypotension or lactate ≥ 4 mmol/L. This bolus should be completed within 3 hours.
  • Apply vasopressors if patient is hypotensive during or after fluid resuscitation to maintain MAP ≥ 65 mmHg.

References

The Surviving Sepsis Campaign Bundle: 2018 Update 
SSC Hour-1 Bundle: Infograph 
Surviving Sepsis Guidelines 2016

敗血症 一小時組套:2018 SSC 更新摘要

1-h bundles 取代過去的 3-h and 6-h bundles
  • 每 2-4 小時 驗 Lactate level 直到正常
  • Blood cultures
  • 廣效性抗生素
  • 3小時內 給完 Crystalloid fluid 30 ml/kg
  • 升壓劑 維持 MAP ≥ 65 mmHg

沒有留言: