{"id":14409,"date":"2021-10-05T04:57:00","date_gmt":"2021-10-05T02:57:00","guid":{"rendered":"http:\/\/news-papers.eu\/?p=14409"},"modified":"2021-10-04T22:02:05","modified_gmt":"2021-10-04T20:02:05","slug":"neue-surviving-sepsis-guideline-2021-die-kernaussagen","status":"publish","type":"post","link":"https:\/\/news-papers.eu\/?p=14409","title":{"rendered":"Neue &#8222;Surviving Sepsis Campaign&#8220; Guideline 2021: Kernaussagen Teil 1"},"content":{"rendered":"<p><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"14444\" data-permalink=\"https:\/\/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&amp;ssl=1\" 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&amp;ssl=1\" 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=179%2C183\" alt=\"Sepsis\" width=\"179\" height=\"183\" 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&amp;ssl=1 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&amp;ssl=1 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&amp;ssl=1 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&amp;ssl=1 750w, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/10\/Bildschirmfoto-2021-10-04-um-21.43.15.png?w=1332&amp;ssl=1 1332w\" sizes=\"auto, (max-width: 179px) 100vw, 179px\" \/>Die <strong>neue 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 1:<\/strong><\/p>\n<ul style=\"text-align: justify\">\n<li>F\u00fcr Krankenh\u00e4user und Gesundheitssysteme empfehlen wir ein Programm zur Verbesserung der Leistung bei Sepsis, einschlie\u00dflich eines <strong>Sepsis-Screenings f\u00fcr akut erkrankte Hochrisikopatienten<\/strong> und <strong>Standardarbeitsanweisungen<\/strong> f\u00fcr die Behandlung.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>Kernaussage 2:<\/strong><\/p>\n<ul style=\"text-align: justify\">\n<li>Wir empfehlen, <strong>qSOFA<\/strong> im Vergleich zu SIRS, NEWS oder MEWS <strong>nicht als einziges Screening-Instrument f\u00fcr Sepsis<\/strong> oder septischen Schock zu verwenden.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>Kernaussage 3:\u00a0<\/strong><\/p>\n<div class=\"page\" title=\"Page 3\">\n<div class=\"section\">\n<div class=\"layoutArea\" style=\"text-align: justify\">\n<div class=\"column\">\n<ul>\n<li>Bei Erwachsenen, bei denen der Verdacht auf Sepsis besteht, empfehlen wir die <strong>Messung des Blutlaktats<\/strong>.<\/li>\n<\/ul>\n<p><strong>Kernaussage 4:\u00a0<\/strong><\/p>\n<\/div>\n<\/div>\n<ul style=\"text-align: justify\">\n<li class=\"page\" title=\"Page 3\">Sepsis und septischer Schock sind medizinische Notf\u00e4lle, und wir empfehlen, <strong>sofort<\/strong> mit der Behandlung und Initialtherapie zu beginnen.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>Kernaussage 5:\u00a0<\/strong><\/p>\n<ul style=\"text-align: justify\">\n<li title=\"Page 3\">Bei Patienten mit sepsisbedingter Hypoperfusion oder septischem Schock wird empfohlen, <strong>innerhalb der ersten 3 Stunden der Initialversorgung mindestens 30 ml\/kg intraven\u00f6ser (IV) kristalloider Fl\u00fcssigkeit<\/strong> zu verabreichen.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>Kernaussage 6:\u00a0<\/strong><\/p>\n<ul style=\"text-align: justify\">\n<li title=\"Page 3\">Bei Erwachsenen mit Sepsis oder septischem Schock wird empfohlen, die Fl\u00fcssigkeitstherapie anhand <strong>dynamischer Messwerte<\/strong> zu steuern und nicht nur anhand der k\u00f6rperlichen Untersuchung oder statischer Parameter.\u00a0Zu den dynamischen Parametern geh\u00f6ren die Reaktion auf ein passives Beinheben oder einen Fl\u00fcssigkeitsbolus unter Verwendung des Schlagvolumens (SV), der Schlagvolumenvariation (SVV), der Pulsdruckvariation (PPV) oder der Echokardiographie, sofern verf\u00fcgbar.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>Kernaussage 7:<\/strong><\/p>\n<ul style=\"text-align: justify\">\n<li>Bei Erwachsenen mit Sepsis oder septischem Schock wird empfohlen, die <strong>Initialversorgung bei Patienten mit erh\u00f6hten Laktatwerten<\/strong> so zu gestalten, dass das Serumlaktat gesenkt wird, anstatt das Serumlaktat nicht zu verwenden.\u00a0W\u00e4hrend der akuten Initialversorgung sollte der Serumlaktatspiegel unter Ber\u00fccksichtigung des klinischen Kontextes und anderer Ursachen f\u00fcr erh\u00f6htes Laktat interpretiert werden.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>Kernaussage 8:\u00a0<\/strong><\/p>\n<ul>\n<li style=\"text-align: justify\">Bei Erwachsenen mit septischem Schock empfehlen wir die Verwendung der <strong>kapillaren Wiederauff\u00fcllzeit zur Steuerung der Initialversorgung<\/strong> als Erg\u00e4nzung zu anderen Perfusionsmessungen.<\/li>\n<\/ul>\n<p>Sind Sie gespannt auf <strong>Teil 2<\/strong>.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>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 [&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":[67,2174],"class_list":["post-14409","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sepsis","tag-sepsis","tag-ssc-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&ssl=1","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p7fR2g-3Kp","jetpack-related-posts":[{"id":14421,"url":"https:\/\/news-papers.eu\/?p=14421","url_meta":{"origin":14409,"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. 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":"https:\/\/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&ssl=1&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&ssl=1&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&ssl=1&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&ssl=1&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&ssl=1&resize=1050%2C600 3x"},"classes":[]},{"id":14419,"url":"https:\/\/news-papers.eu\/?p=14419","url_meta":{"origin":14409,"position":1},"title":"Surviving Sepsis Campaign Guideline 2021 &#8211; Teil 3","author":"Michael Bernhard","date":"Oktober 10, 2021","format":false,"excerpt":"Nun zu Teil 3 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 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":"https:\/\/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&ssl=1&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&ssl=1&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&ssl=1&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&ssl=1&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&ssl=1&resize=1050%2C600 3x"},"classes":[]},{"id":14524,"url":"https:\/\/news-papers.eu\/?p=14524","url_meta":{"origin":14409,"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. 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). 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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). 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