{"id":14425,"date":"2021-10-15T04:10:08","date_gmt":"2021-10-15T02:10:08","guid":{"rendered":"http:\/\/news-papers.eu\/?p=14425"},"modified":"2021-10-04T21:58:41","modified_gmt":"2021-10-04T19:58:41","slug":"surviving-sepsis-campaign-guideline-2021-teil-5","status":"publish","type":"post","link":"http:\/\/news-papers.eu\/?p=14425","title":{"rendered":"Surviving Sepsis Campaign Guideline 2021 &#8211; Teil 5"},"content":{"rendered":"<p><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"14444\" data-permalink=\"http:\/\/news-papers.eu\/?attachment_id=14444\" data-orig-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/10\/Bildschirmfoto-2021-10-04-um-21.43.15.png?fit=1332%2C1358\" data-orig-size=\"1332,1358\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Bildschirmfoto 2021-10-04 um 21.43.15\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/10\/Bildschirmfoto-2021-10-04-um-21.43.15.png?fit=1004%2C1024\" class=\" wp-image-14444 alignright\" src=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/10\/Bildschirmfoto-2021-10-04-um-21.43.15.png?resize=194%2C198\" alt=\"Sepsis\" width=\"194\" height=\"198\" srcset=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/10\/Bildschirmfoto-2021-10-04-um-21.43.15.png?resize=294%2C300 294w, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/10\/Bildschirmfoto-2021-10-04-um-21.43.15.png?resize=1004%2C1024 1004w, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/10\/Bildschirmfoto-2021-10-04-um-21.43.15.png?resize=768%2C783 768w, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/10\/Bildschirmfoto-2021-10-04-um-21.43.15.png?resize=750%2C765 750w, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/10\/Bildschirmfoto-2021-10-04-um-21.43.15.png?w=1332 1332w\" sizes=\"auto, (max-width: 194px) 100vw, 194px\" \/>Nun zu Teil 5 der\u00a0<strong>Surviving Sepsis Campaign Guideline 2021<\/strong> ist am 02.10.2021 publiziert worden:<\/p>\n<div class=\"page\" title=\"Page 1\">\n<div class=\"section\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n<blockquote><p><strong>Evans L, et al. Surviving sepsis campaign: international guidelines for management of sepsis and septic shock 2021. This article is co\u2010published in the journals Intensive Care Medicine (https:\/\/doi.org\/10.1007\/s00134\u2010021\u201006506\u2010y) and Critical Care Medicine (https:\/\/doi.org\/10.1097\/CCM.0000000000005337). (<a href=\"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00134-021-06506-y.pdf\" target=\"_blank\" rel=\"noopener\">PDF<\/a>)<\/strong><\/p><\/blockquote>\n<p style=\"text-align: justify\">Hier ganz frisch <strong>einige Empfehlungen<\/strong> (Cave: Freie \u00dcbersetzung: Korrekturen vorbehalten):<\/p>\n<\/div>\n<p style=\"text-align: justify\"><strong>Kernaussage 32: <\/strong><\/p>\n<ul style=\"text-align: justify\">\n<li>Bei Erwachsenen mit Sepsis oder septischem Schock empfehlen wir die Verwendung von kristallinen Fl\u00fcssigkeiten als Mittel der ersten Wahl zur Initialtherapie.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>Kernaussage\u00a033:<\/strong><\/p>\n<ul style=\"text-align: justify\">\n<li>Bei Erwachsenen mit Sepsis oder septischem Schock empfehlen wir die Verwendung von balancierten kristalloiden Fl\u00fcssigkeiten anstelle von normaler Kochsalzl\u00f6sung zur Initialtherapie.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>Kernaussage\u00a034:\u00a0<\/strong><\/p>\n<ul style=\"text-align: justify\">\n<li>Bei Erwachsenen mit Sepsis oder septischem Schock empfehlen wir die Verwendung von Albumin bei Patienten, die gro\u00dfe Mengen an kristalloiden Fl\u00fcssigkeiten erhalten haben, gegen\u00fcber der Verwendung von kristalloiden Fl\u00fcssigkeiten allein.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>Kernaussage\u00a035: <\/strong><\/p>\n<ul style=\"text-align: justify\">\n<li>Bei Erwachsenen mit Sepsis oder septischem Schock wird von der Verwendung von HES-Pr\u00e4paraten zur Initialtherapie abgeraten.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>Kernaussage 36:<\/strong><\/p>\n<ul style=\"text-align: justify\">\n<li>Bei Erwachsenen mit Sepsis und septischem Schock raten wir von der Verwendung von Gelatine zur Initialtherapie ab.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>Kernaussage 37: <\/strong><\/p>\n<ul style=\"text-align: justify\">\n<li>Bei Erwachsenen mit septischem Schock wird empfohlen, Norepinephrin als Mittel der ersten Wahl gegen\u00fcber anderen Vasopressoren einzusetzen.\u00a0In Situationen, in denen Norepinephrin nicht verf\u00fcgbar ist, k\u00f6nnen Epinephrin \u00a0oder Dopamin als Alternative verwendet werden, aber wir ermutigen zu Bem\u00fchungen, die Verf\u00fcgbarkeit von Noradrenalin zu verbessern. Bei der Verwendung von Dopamin und Epinephrin sollte Patienten mit einem Risiko f\u00fcr Herzrhythmusst\u00f6rungen besondere Aufmerksamkeit gewidmet werden.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>Kernaussage 38: <\/strong><\/p>\n<ul style=\"text-align: justify\">\n<li>Bei Erwachsenen mit septischem Schock, die Norepinephrin erhalten und deren MAP-Werte unzureichend sind, empfehlen wir die Gabe von Vasopressin, anstatt die Norepinephrin-Dosis zu erh\u00f6hen.\u00a0In der Praxis wird Vasopressin in der Regel eingesetzt, wenn die Norepinephrin-Dosis im Bereich von 0,25-0,5 \u03bcg\/kg\/min liegt.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>Kernaussage 39: <\/strong><\/p>\n<ul style=\"text-align: justify\">\n<li>Bei Erwachsenen mit septischem Schock und inad\u00e4quaten MAP-Werten trotz Norepinephrin und Vasopressin empfehlen wir die Zugabe von Epinephrin.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>Kernaussage 40: <\/strong><\/p>\n<ul>\n<li style=\"text-align: justify\">Bei Erwachsenen mit septischem Schock raten wir von der Anwendung von Terlipressin ab.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Nun zu Teil 5 der\u00a0Surviving Sepsis Campaign Guideline 2021 ist am 02.10.2021 publiziert worden: Evans L, et al. Surviving sepsis campaign: international guidelines for management of sepsis and septic shock [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":14441,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"__cvm_playback_settings":[],"__cvm_video_id":"","jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"_wpas_customize_per_network":false},"categories":[57],"tags":[67,2175],"class_list":["post-14425","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sepsis","tag-sepsis","tag-surviving-sepsis-campaign-guideline-2021"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/10\/Bildschirmfoto-2021-10-04-um-21.41.56.png?fit=1346%2C1288","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p7fR2g-3KF","jetpack-related-posts":[{"id":14421,"url":"http:\/\/news-papers.eu\/?p=14421","url_meta":{"origin":14425,"position":0},"title":"Surviving Sepsis Campaign Guideline 2021 &#8211; Teil 4","author":"Michael Bernhard","date":"Oktober 12, 2021","format":false,"excerpt":"Nun zu Teil 4 der\u00a0Surviving Sepsis Campaign Guideline 2021 ist am 02.10.2021 publiziert worden: Evans L, et al. 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Surviving sepsis campaign: international guidelines for management of sepsis and septic shock 2021. This article is co\u2010published in the journals Intensive Care Medicine (https:\/\/doi.org\/10.1007\/s00134\u2010021\u201006506\u2010y) and Critical Care Medicine (https:\/\/doi.org\/10.1097\/CCM.0000000000005337). (PDF) Hier ganz\u2026","rel":"","context":"In &quot;Sepsis&quot;","block_context":{"text":"Sepsis","link":"http:\/\/news-papers.eu\/?cat=57"},"img":{"alt_text":"Sepsis","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/10\/Bildschirmfoto-2021-10-04-um-21.41.56.png?fit=1200%2C1148&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/10\/Bildschirmfoto-2021-10-04-um-21.41.56.png?fit=1200%2C1148&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/10\/Bildschirmfoto-2021-10-04-um-21.41.56.png?fit=1200%2C1148&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/10\/Bildschirmfoto-2021-10-04-um-21.41.56.png?fit=1200%2C1148&resize=700%2C400 2x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/10\/Bildschirmfoto-2021-10-04-um-21.41.56.png?fit=1200%2C1148&resize=1050%2C600 3x"},"classes":[]},{"id":14524,"url":"http:\/\/news-papers.eu\/?p=14524","url_meta":{"origin":14425,"position":2},"title":"Surviving Sepsis Campaign Guideline 2021 &#8211; Teil 8","author":"Michael Bernhard","date":"Oktober 24, 2021","format":false,"excerpt":"Nun zu Teil 8\u00a0der\u00a0Surviving Sepsis Campaign Guideline 2021 ist am 02.10.2021 publiziert worden: Evans L, et al. 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(PDF) Hier ganz frisch\u2026","rel":"","context":"In &quot;Sepsis&quot;","block_context":{"text":"Sepsis","link":"http:\/\/news-papers.eu\/?cat=57"},"img":{"alt_text":"Sepsis","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/10\/Bildschirmfoto-2021-10-04-um-21.41.56.png?fit=1200%2C1148&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/10\/Bildschirmfoto-2021-10-04-um-21.41.56.png?fit=1200%2C1148&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/10\/Bildschirmfoto-2021-10-04-um-21.41.56.png?fit=1200%2C1148&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/10\/Bildschirmfoto-2021-10-04-um-21.41.56.png?fit=1200%2C1148&resize=700%2C400 2x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/10\/Bildschirmfoto-2021-10-04-um-21.41.56.png?fit=1200%2C1148&resize=1050%2C600 3x"},"classes":[]},{"id":14409,"url":"http:\/\/news-papers.eu\/?p=14409","url_meta":{"origin":14425,"position":3},"title":"Neue &#8222;Surviving Sepsis Campaign&#8220; Guideline 2021: Kernaussagen Teil 1","author":"Michael Bernhard","date":"Oktober 5, 2021","format":false,"excerpt":"Die neue Surviving Sepsis Campaign Guideline 2021 ist am 02.10.2021 publiziert worden: Evans L, et al. 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