{"id":14524,"date":"2021-10-24T04:42:25","date_gmt":"2021-10-24T02:42:25","guid":{"rendered":"http:\/\/news-papers.eu\/?p=14524"},"modified":"2021-10-14T23:01:17","modified_gmt":"2021-10-14T21:01:17","slug":"surviving-sepsis-campaign-guideline-2021-teil-8","status":"publish","type":"post","link":"https:\/\/news-papers.eu\/?p=14524","title":{"rendered":"Surviving Sepsis Campaign Guideline 2021 &#8211; Teil 8"},"content":{"rendered":"<p style=\"text-align: justify\"><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=173%2C177\" alt=\"Sepsis\" width=\"173\" height=\"177\" 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: 173px) 100vw, 173px\" \/>Nun zu <strong>Teil 8<\/strong>\u00a0der\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>\n<p style=\"text-align: justify\"><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>\n<\/blockquote>\n<p>Hier ganz frisch <strong>einige Empfehlungen<\/strong> (Cave: Freie \u00dcbersetzung: Korrekturen vorbehalten):<\/p>\n<\/div>\n<p><strong>Kernaussage 70:<\/strong><\/p>\n<ul>\n<li style=\"text-align: justify\">Bei Erwachsenen mit Sepsis oder septischem Schock <strong>raten wir von der intraven\u00f6sen Verabreichung von Vitamin C ab<\/strong>.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>Kernaussage 71:<\/strong><\/p>\n<ul style=\"text-align: justify\">\n<li>Bei Erwachsenen mit septischem Schock und hypoperfusionsbedingter Laktatazid\u00e4mie r<strong>aten wir von einer Natriumbicarbonat-Therapie zur Verbesserung der H\u00e4modynamik oder zur Verringerung des Bedarfs an Vasopressoren ab<\/strong>.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>Kernaussage 72:<\/strong><\/p>\n<ul style=\"text-align: justify\">\n<li>Bei Erwachsenen mit s<strong>eptischem Schock, schwerer metabolischer Azid\u00e4mie (pH \u2264 7,2) und AKI (AKIN-Score 2 oder 3) empfehlen wir eine Natriumbicarbonat-Therapie<\/strong>.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>Kernaussage 73:<\/strong><\/p>\n<\/div>\n<ul>\n<li style=\"text-align: justify\">Bei erwachsenen Patienten mit Sepsis oder septischem Schock, die enteral ern\u00e4hrt werden k\u00f6nnen, empfehlen wir eine <strong>fr\u00fchzeitige (innerhalb von 72 Stunden) Einleitung der enteralen Ern\u00e4hrung<\/strong>.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>Kernausage 74:\u00a0<\/strong><\/p>\n<ul style=\"text-align: justify\">\n<li>Bei Erwachsenen mit Sepsis oder septischem Schock empfehlen wir, die <strong>Ziele der Behandlung und die Prognose mit den Patienten und ihren Familien zu besprechen<\/strong>, anstatt dies zu unterlassen.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>Kernaussage 75:\u00a0<\/strong><\/p>\n<ul style=\"text-align: justify\">\n<li>Bei Erwachsenen mit Sepsis oder septischem Schock wird empfohlen, die <strong>Versorgungsziele fr\u00fchzeitig (innerhalb von 72 Stunden) und nicht zu sp\u00e4t anzusprechen<\/strong>.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>Kernaussage 76:<\/strong><\/p>\n<ul style=\"text-align: justify\">\n<li>Die <strong>Evidenzlage ist nicht ausreichend<\/strong>, um eine Empfehlung f\u00fcr ein spezifisches <strong>standardisiertes Kriterium f\u00fcr die Diskussion der Versorgungsziele<\/strong> auszusprechen.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>Kernaussage 77:<\/strong><\/p>\n<ul style=\"text-align: justify\">\n<li>Bei Erwachsenen mit Sepsis oder septischem Schock empfehlen wir, die <strong>Grunds\u00e4tze der Palliativmedizin<\/strong> (die nach \u00e4rztlichem Ermessen auch eine Beratung durch Palliativmediziner umfassen kann) <strong>in den Behandlungsplan zu integrieren<\/strong>, um die Symptome und das Leiden des Patienten und seiner Familie zu lindern.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>Kernaussage 78:\u00a0<\/strong><\/p>\n<ul style=\"text-align: justify\">\n<li>Bei Erwachsenen mit Sepsis oder septischem Schock wird empfohlen, von einer <strong>routinem\u00e4\u00dfigen formellen Palliativpflegekonsultation<\/strong> f\u00fcr alle Patienten abzusehen und stattdessen eine Palliativpflegekonsultation auf der Grundlage der Einsch\u00e4tzung des Arztes durchzuf\u00fchren.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>Kernaussage 79:\u00a0<\/strong><\/p>\n<ul>\n<li style=\"text-align: justify\">F\u00fcr erwachsene \u00dcberlebende einer Sepsis oder eines septischen Schocks und ihre Familien empfehlen wir die <strong>\u00dcberweisung an Peer-Selbsthilfegruppen<\/strong>, anstatt sie zu verweigern.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>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. [&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-14524","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&ssl=1","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p7fR2g-3Mg","jetpack-related-posts":[{"id":14421,"url":"https:\/\/news-papers.eu\/?p=14421","url_meta":{"origin":14524,"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":14524,"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":14425,"url":"https:\/\/news-papers.eu\/?p=14425","url_meta":{"origin":14524,"position":2},"title":"Surviving Sepsis Campaign Guideline 2021 &#8211; Teil 5","author":"Michael Bernhard","date":"Oktober 15, 2021","format":false,"excerpt":"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 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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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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