Surviving Sepsis Campaing Resultados y futuro PDF
Preview Surviving Sepsis Campaing Resultados y futuro
Surviving Sepsis Campaing Resultados y futuro Ricard Ferrer Intensive Care Department Mutua Terrassa University Hospital Barcelona. SPAIN Phase 1 Barcelona declaration Phase 2 Evidence based guidelines Phase 3 Implementation and Education Surviving Sepsis Campaign: Timeline Guidelines Barcelona Phase III starts: Guidelines And bundles Declara<on IHI partnership Revision Revision 2004 2010 2006 2014 2002 2012 2005 2008 NEJM editorial Results Results published published 15,000 pts 30,000 pts SSC Guidelines 20% RRR 27% RRR Surviving Sepsis Campaign (SSC) guidelines for management of severe sepsis and septic shock Dellinger RP, Carlet JM, Masur H, Gerlach H, Calandra T, Cohen J, Gea-Banacloche J, Keh D, Marshall JC, Parker MM, Ramsay G, Zimmerman JL, Vincent JL, Levy MM Crit Care Med 2004;32:858-873 Intensive Care Med 2004;30:536-555 Surviving Sepsis Campaign: International guidelines for management of severe sepsis and septic shock: 2008 Dellinger RP, Levy MM, Carlet JM, Bion J, Parker MM, Jaeschke R, Reinhart K, Angus DC, Brun-Buisson C, Beale R, Calandra T, Dhainaut JF, Gerlach H, Harvey M, Marini JJ, Marshall J, Ranieri M, Ramsay G, Sevransky J, Thompson BT, Townsend S, Vender JS, Zimmerman JL, Vincent JL. Crit Care Med 2008; 36:296-327 Intensive Care Med 2008;30:536-555 Surviving Sepsis Campaign: Interna<onal guidelines for management of severe sepsis and sep<c shock: 2012 R Phillip Delllinger MD1; Mitchell M. Levy MD2, Andrew Rhodes MD BS3; Djillali Annane MD4; Herwig Gerlach MD PhD5; Steven M. Opal MD6; Jonathan E. Sevransky MD7; Charles L. Sprung MD8; Ivor S. Douglas MD9; Roman Jaeschke MD10; Tiffany M. Osborn MD MPH11; Mark E. Nunnally MD12; Sean R. Townsend MD13; Konrad Reinhart MD14; Ruth M. Kleinpell PhD RN-‐CS15; Derek C. Angus MD MPH16, Clifford S. Deutschman MD MS17; Flavia R. Machado MD PhD18, Gordon Dr. Rubenfeld MD19; Steven A. Webb MB BS PhD20; Richard J. Beale MB BS21; Jean-‐Louis Vincent MD PhD22; Rui Moreno MD PhD23; and the Surviving Sepsis Campaign Guidelines Commi‘ee including the Pediatric Subgroup* Cri<cal Care Med. 2013 Feb;41(2):580-‐637 Intensive Care Med. 2013 Feb;39(2):165-‐228 Current Surviving Sepsis Campaign Guidelines Sponsors • European Society of Intensive Care Medicine • American Associa<on of Cri<cal-‐Care • European Society of Pediatric and Neonatal Nurses Intensive Care • American College of Chest Physicians • German Sepsis Society • American College of Emergency Physicians • Infec<ous Diseases Society of America • Australian and New Zealand Intensive Care • Indian Society of Cri<cal Care Medicine Society • Japanese Associa<on for Acute Medicine • Asia Pacific Associa<on of Cri<cal Care • Japanese Society of Intensive Care Medicine Medicine • American Thoracic Society • La<n American Sepsis Ins<tute • Brazilian Society of Cri<cal Care(AIMB) • Pan Arab Cri<cal Care Medicine Society • Canadian Cri<cal Care Society • Pediatric Acute Lung Injury and Sepsis Inves<gators • Chinese Society of Cri<cal Care Medicine • Society Academic Emergency Medicine • Chinese Society of Cri<cal Care Medicine • Society of Cri<cal Care Medicine of Chinese Medical Associa<on • Society of Hospital Medicine • European Respiratory Society • Surgical Infec<on Society • European Society of Clinical Microbiology • World Federa<on of Cri<cal Care Nurses and Infec<ous Diseases • World Federa<on of Socie<es of Intensive and Cri<cal Care Medicine Phase 1 Barcelona declaration Phase 2 Evidence based guidelines Phase 3 Implementation and Education SSC Methodology: International Multifaceted Intervention • National/regional/network “launch meetings” – Identify local champions – Introduce sepsis bundles – Staff support for coordinating sites – Regular conference calls • Educational tools • SSC manual • SSC slides • Website – SSC and IHI website – Sepsis list-serve • Interactive database – Automated uploading to SSC server – Technical support – Local audit and feedback capabilities n= 15.022 Crit Care Med 2010; 38(2):367-374
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