{"id":9331,"date":"2019-05-22T04:43:09","date_gmt":"2019-05-22T02:43:09","guid":{"rendered":"http:\/\/news-papers.eu\/?p=9331"},"modified":"2019-05-22T07:14:14","modified_gmt":"2019-05-22T05:14:14","slug":"kennen-sie-das-1-h-sepsis-bundle-der-ssc","status":"publish","type":"post","link":"http:\/\/news-papers.eu\/?p=9331","title":{"rendered":"Kennen Sie das &#8222;1 h-Sepsis Bundle&#8220; der SSC?"},"content":{"rendered":"<figure id=\"attachment_539\" aria-describedby=\"caption-attachment-539\" style=\"width: 225px\" class=\"wp-caption alignright\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"539\" data-permalink=\"http:\/\/news-papers.eu\/?attachment_id=539\" data-orig-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/02\/Sepsis.jpg?fit=960%2C1280\" data-orig-size=\"960,1280\" 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;1&quot;}\" data-image-title=\"Sepsis\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Definition der Sepsis &#8211; Teil 1&lt;\/p&gt;\n\" data-medium-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/02\/Sepsis.jpg?fit=225%2C300\" data-large-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/02\/Sepsis.jpg?fit=768%2C1024\" src=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/02\/Sepsis.jpg?resize=225%2C300\" class=\"size-medium wp-image-539\" width=\"225\" height=\"300\" alt=\"\" srcset=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/02\/Sepsis.jpg?resize=225%2C300 225w, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/02\/Sepsis.jpg?resize=768%2C1024 768w, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/02\/Sepsis.jpg?resize=750%2C1000 750w, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/02\/Sepsis.jpg?w=960 960w\" sizes=\"auto, (max-width: 225px) 100vw, 225px\" \/><figcaption id=\"caption-attachment-539\" class=\"wp-caption-text\">Definition der Sepsis &#8211; Teil 1<\/figcaption><\/figure>\n<p style=\"text-align: justify\">Bisher hatten wir das 3 h und das 6 h Bundle f\u00fcr die Sepsistherapie, seit letztem Jahr gibt es das zusammenfasste 1 h Sepsis-Bundle der Surviving Sepsis Campaign (SSC).<\/p>\n<blockquote><p><strong>Levy MM, et al. The surviving&nbsp;sepsis campaign bundle: 2018 update. Intensive&nbsp;CareMed 2018; 44:925\u2013928<\/strong><\/p>\n<\/blockquote>\n<p>Kennen Sie eigentlich das 1 h Bundle ? Briegel und M\u00f6hnle aus M\u00fcnchen haben die&nbsp;Ma\u00dfnahmen des&nbsp;Surviving Sepsis Campaign im&nbsp;1-h-B\u00fcndels noch einmal zusammengefasst:<\/p>\n<blockquote><p><strong>Briegel J et al.&nbsp;Surviving Sepsis Campaign&nbsp;Update 2018: das 1-h-Bundle&nbsp;Hintergrund zu den neuen Empfehlungen.&nbsp;Anaesthesist 2019 \u00b7 68:204\u2013207<\/strong><\/p>\n<\/blockquote>\n<p><strong>Das 1 h Sepsis Bundle umfasst:&nbsp;<\/strong><\/p>\n<ul>\n<li>Lactat messen (a)<\/li>\n<li>Blutkulturen abnehmen vor Gabe der Antibiotika<\/li>\n<li>Gabe von Breitspektrum-Antibiotika<\/li>\n<li>Rasche Gabe von 30ml\/kg kristalliner Infusionsl\u00f6sungen bei Hypotension oder erh\u00f6htem Lactatspiegel \u22654mmol\/l<\/li>\n<li>Gabe von Vasopressoren, wenn die Hypotension w\u00e4hrend oder nach der Gabe der kristallinen L\u00f6sung weiterbesteht, um einen mittleren arteriellen Druck von (MAP) \u226565mmHg zu erzielen<\/li>\n<\/ul>\n<p>(a) Lactat erneut kontrollieren, wenn es erh\u00f6ht&nbsp;war (&gt;2mmol\/l)<\/p>\n<p style=\"text-align: justify\">Dabei wird dieses 1 h Bundle nicht ganz kritiklos hingenommen, sondern vor dem Hintergrund von Antibiotikaresistenzen bei liberaler Gabe, fehlender zeitlicher Realit\u00e4t (Fr\u00fchdetektion und Identifikation von Sepsispatienten dauert h\u00e4ufig l\u00e4nger) auch durchaus kontrovers diskutiert.<\/p>\n<p><a href=\"http:\/\/www.survivingsepsis.org\/Bundles\/Pages\/default.aspx\" target=\"_blank\" rel=\"noopener\">h<\/a><a href=\"http:\/\/www.survivingsepsis.org\/Bundles\/Pages\/default.aspx\" target=\"_blank\" rel=\"noopener\"><strong>ttp:\/\/www.survivingsepsis.org\/Bundles\/Pages\/default.aspx<\/strong><\/a><\/p>\n<p>&nbsp;<\/p>\n<p><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"9504\" data-permalink=\"http:\/\/news-papers.eu\/?attachment_id=9504\" data-orig-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/05\/Bildschirmfoto-2019-05-12-um-13.35.06.png?fit=1832%2C1068\" data-orig-size=\"1832,1068\" 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=\"D\u00fcsseldorfer Triple ED Day 2019\" data-image-description=\"\" data-image-caption=\"\" data-medium-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/05\/Bildschirmfoto-2019-05-12-um-13.35.06.png?fit=300%2C175\" data-large-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/05\/Bildschirmfoto-2019-05-12-um-13.35.06.png?fit=1024%2C597\" src=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/05\/Bildschirmfoto-2019-05-12-um-13.35.06.png?resize=670%2C391\" class=\"alignnone wp-image-9504\" alt=\"\" width=\"670\" height=\"391\" srcset=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/05\/Bildschirmfoto-2019-05-12-um-13.35.06.png?resize=300%2C175 300w, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/05\/Bildschirmfoto-2019-05-12-um-13.35.06.png?resize=768%2C448 768w, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/05\/Bildschirmfoto-2019-05-12-um-13.35.06.png?resize=1024%2C597 1024w, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/05\/Bildschirmfoto-2019-05-12-um-13.35.06.png?resize=750%2C437 750w, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/05\/Bildschirmfoto-2019-05-12-um-13.35.06.png?w=1832 1832w\" sizes=\"auto, (max-width: 670px) 100vw, 670px\" \/><\/p>\n<p style=\"text-align: justify\">Der <strong>1. D\u00fcsseldorfer Triple ED Day<\/strong> findet am 28.09.2019 im Universit\u00e4tsklinikum D\u00fcsseldorf statt. Die Teilnahme ist kostenfrei.<\/p>\n<p><strong>Programmflyer:&nbsp;<a href=\"http:\/\/news-papers.eu\/wp-content\/uploads\/2019\/05\/Duesseldorfer_Triple_ED_Day_2019-1.pdf\">Duesseldorfer_Triple_ED_Day_2019<\/a><\/strong><\/p>\n<p><strong>Anmeldung unter: ZNA@med.uni-duesseldorf.de<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Bisher hatten wir das 3 h und das 6 h Bundle f\u00fcr die Sepsistherapie, seit letztem Jahr gibt es das zusammenfasste 1 h Sepsis-Bundle der Surviving Sepsis Campaign (SSC). Levy [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":539,"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}},"categories":[57],"tags":[1638],"class_list":["post-9331","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sepsis","tag-1-h-sepsis-bundel"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/02\/Sepsis.jpg?fit=960%2C1280","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p7fR2g-2qv","jetpack-related-posts":[{"id":3737,"url":"http:\/\/news-papers.eu\/?p=3737","url_meta":{"origin":9331,"position":0},"title":"Surviving Sepsis Campaign 2017 &#8211; Teil 1","author":"Michael Bernhard","date":"April 11, 2017","format":false,"excerpt":"Die 2016er\u00a0\"Surviving Sepsis Campaign\" Empfehlungen zur Behandlung der Sepsis sind publiziert worden: Rhodes A et al.,\u00a0Surviving Sepsis Campaign: International\u00a0Guidelines for Management of Sepsis and Septic\u00a0Shock: 2016. Crit Care Med 2017;\u00a0DOI: 10.1097\/CCM.0000000000002255 (PDF) oder Rhodes A et al.,\u00a0Surviving Sepsis Campaign: International\u00a0Guidelines for Management of Sepsis and Septic\u00a0Shock: 2016. Intensive\u00a0Care Med 2017;\u00a0DOI\u2026","rel":"","context":"In &quot;Sepsis&quot;","block_context":{"text":"Sepsis","link":"http:\/\/news-papers.eu\/?cat=57"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/01\/Bildschirmfoto-2017-01-23-um-07.57.24-e1485154716876.png?fit=500%2C343&resize=350%2C200","width":350,"height":200},"classes":[]},{"id":3747,"url":"http:\/\/news-papers.eu\/?p=3747","url_meta":{"origin":9331,"position":1},"title":"Surviving Sepsis Campaign &#8211; Guidelines 2017 &#8211; 4th Edition","author":"Michael Bernhard","date":"Januar 25, 2017","format":false,"excerpt":"Gerade sind die neuen Surviving Sepsis Campaign Guidelines 2017\u00a0erschienen: Gesamte Leitlinie\u00a0(67 Seiten, 655 Literaturstellen):\u00a0 Rhodes A et al.,\u00a0Surviving Sepsis Campaign: International\u00a0Guidelines for Management of Sepsis and Septic\u00a0Shock: 2016. Crit Care Med 2017;\u00a0DOI: 10.1097\/CCM.0000000000002255 (PDF) User\u00b4s Guideline\u00a0(5 Seiten): Dellinger RP, et al. A Users\u2019 Guide to the 2016 Surviving Sepsis\u00a0Guidelines. Crit\u2026","rel":"","context":"In &quot;Sepsis&quot;","block_context":{"text":"Sepsis","link":"http:\/\/news-papers.eu\/?cat=57"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/01\/Bildschirmfoto-2017-01-23-um-07.57.24-e1485154716876.png?fit=500%2C343&resize=350%2C200","width":350,"height":200},"classes":[]},{"id":14705,"url":"http:\/\/news-papers.eu\/?p=14705","url_meta":{"origin":9331,"position":2},"title":"Sepsis in der pr\u00e4hospitalen Notfallmedizin","author":"Michael Bernhard","date":"November 24, 2021","format":false,"excerpt":"Die Sepsis ist eine notfallmedizinische Herausforderung \u2013 denn\u00a0die lebensbedrohliche Organdysfunktion, verursacht durch eine dysregulierte Wirtsantwort auf eine Infektion, pra\u0308sentiert sich in vielfa\u0308ltiger Auspra\u0308gung und wird deshalb ha\u0308ufig erst zu spa\u0308t erkannt. Obermaier M et al. Sepsis in der pra\u0308hospitalen Notfallmedizin. Notfall Rettungsmed 2021, online OPEN ACCESS (PDF) Die ku\u0308rzlich publizierten\u2026","rel":"","context":"In &quot;Sepsis&quot;","block_context":{"text":"Sepsis","link":"http:\/\/news-papers.eu\/?cat=57"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/02\/Sepsis-225x300.jpg?resize=350%2C200","width":350,"height":200},"classes":[]},{"id":4297,"url":"http:\/\/news-papers.eu\/?p=4297","url_meta":{"origin":9331,"position":3},"title":"Surviving Sepsis Campaign 2017 &#8211; Teil 2","author":"Michael Bernhard","date":"April 17, 2017","format":false,"excerpt":"Die 2016er\u00a0\"Surviving Sepsis Campaign\" Empfehlungen zur Behandlung der Sepsis sind publiziert worden. Wir sind bereits in einem ersten Teil auf einige Punkte eingegangen, nun weitere Aspekte:\u00a0Lesen Sie die komplette Leitlinie unter:\u00a0PDF KORIKOSTEROIDE kein Hydrokortison, wenn Volumen- und Vasopressortherapie zur h\u00e4modynamischen Stabilit\u00e4t f\u00fchren; bei persistierender h\u00e4modynamischer Instabilit\u00e4t ist \u00a0200mg Hydrokortison als\u2026","rel":"","context":"In &quot;Sepsis&quot;","block_context":{"text":"Sepsis","link":"http:\/\/news-papers.eu\/?cat=57"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/01\/Bildschirmfoto-2017-01-23-um-07.57.24-e1485154716876.png?fit=500%2C343&resize=350%2C200","width":350,"height":200},"classes":[]},{"id":13672,"url":"http:\/\/news-papers.eu\/?p=13672","url_meta":{"origin":9331,"position":4},"title":"1-Stunden-Sepsis-B\u00fcndel der SSC: Wirklich immer Blutkulturen?","author":"Michael Bernhard","date":"Mai 20, 2021","format":false,"excerpt":"Die Surviving Sepsis Campaign\u00a0(SSC) empfehlen die Verwendung eines 1-h-Sepsis-B\u00fcndels, aber es fehlen klinische Daten, die diese Strategie unterst\u00fctzen. Zitek T, et al. BLOOD CULTURE RESULTS AND OVERTREATMENT ASSOCIATED WITH THE USE OF A 1-HOUR SEPSIS BUNDLE. The Journal of Emergency Medicine, Vol. 59, No. 5, pp. 629\u2013636, 2020 Methoden: retrospektive\u2026","rel":"","context":"In &quot;Sepsis&quot;","block_context":{"text":"Sepsis","link":"http:\/\/news-papers.eu\/?cat=57"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/02\/Blutkulturflaschen.jpg?fit=1200%2C900&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/02\/Blutkulturflaschen.jpg?fit=1200%2C900&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/02\/Blutkulturflaschen.jpg?fit=1200%2C900&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/02\/Blutkulturflaschen.jpg?fit=1200%2C900&resize=700%2C400 2x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/02\/Blutkulturflaschen.jpg?fit=1200%2C900&resize=1050%2C600 3x"},"classes":[]},{"id":14409,"url":"http:\/\/news-papers.eu\/?p=14409","url_meta":{"origin":9331,"position":5},"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. 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 frisch einige\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":[]}],"jetpack_likes_enabled":true,"_links":{"self":[{"href":"http:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/posts\/9331","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"http:\/\/news-papers.eu\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=9331"}],"version-history":[{"count":5,"href":"http:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/posts\/9331\/revisions"}],"predecessor-version":[{"id":9634,"href":"http:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/posts\/9331\/revisions\/9634"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/media\/539"}],"wp:attachment":[{"href":"http:\/\/news-papers.eu\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=9331"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/news-papers.eu\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=9331"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/news-papers.eu\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=9331"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}