EPISODE · Oct 20, 2021 · 1H 4M
TdC 111: Polêmicas da Sepse - Atualizações
from Ta de Clinicagem · host tadeclinicagem
1º Encontro TdC - Simpósio Anual de Atualização em Clínica Médica Um dia inteiro de Clínica Médica, com temas cuidadosamente selecionados para responder à pergunta que mais importa: o que muda minha prática?Se você é residente, médico recém-formado, especialista ou estudante de Medicina e gosta da forma como o TdC discute medicina baseada em evidências, esperamos você em São Paulo no dia 22 de agosto.Garanta sua vaga através do link: https://www.tadeclinicagem.com.br/eventostdc/1-encontro-tdc/🚨 www.tadeclinicagem.com.br/guia - Conheça o Guia TdC com 7 dias grátis 🚨Joanne, Pedro e João trazem mais uma versão do Polêmicas do Sepse, logo depois da nova publicação do Surviving Sepsis! Nesse episódio mencionamos:1) Escolha e tempo de antibioticoterapia2) Qual solução para expansão volêmica e a quantidade necessária3) Qual droga vasoativa realizar e como fazerE por último, a indicação de bicarbonato na sepse! Referências:1. EVANS, Laura et al. Surviving sepsis campaign: international guidelines for management of sepsis and septic shock 2021. Intensive care medicine, v. 47, n. 11, p. 1181-1247, 2021.2. WUTRICH, Yann et al. Early increase in arterial lactate concentration under epinephrine infusion is associated with a better prognosis during shock. Shock, v. 34, n. 1, p. 4-9, 2010.3. MAITLAND, Kathryn et al. Mortality after fluid bolus in African children with severe infection. New England Journal of Medicine, v. 364, n. 26, p. 2483-2495, 2011.4. CHURPEK, Matthew M. et al. Quick sepsis-related organ failure assessment, systemic inflammatory response syndrome, and early warning scores for detecting clinical deterioration in infected patients outside the intensive care unit. American journal of respiratory and critical care medicine, v. 195, n. 7, p. 906-911, 2017.5. GARCIA-ALVAREZ, Mercedes; MARIK, Paul; BELLOMO, Rinaldo. Sepsis-associated hyperlactatemia. Critical care, v. 18, n. 5, p. 1-11, 2014.6. ZAMPIERI, Fernando G. et al. Effect of Intravenous Fluid Treatment With a Balanced Solution vs 0.9% Saline Solution on Mortality in Critically Ill Patients: The BaSICS Randomized Clinical Trial. Jama, v. 326, n. 9, p. 818-829, 2021.7. ZAMPIERI, Fernando G. et al. Effect of Slower vs Faster Intravenous Fluid Bolus Rates on Mortality in Critically Ill Patients: The BaSICS Randomized Clinical Trial. JAMA, v. 326, n. 9, p. 830-838, 2021.8. JABER, Samir et al. Sodium bicarbonate therapy for patients with severe metabolic acidaemia in the intensive care unit (BICAR-ICU): a multicentre, open-label, randomised controlled, phase 3 trial. The Lancet, v. 392, n. 10141, p. 31-40, 2018.9. SEMLER, Matthew W. et al. Balanced crystalloids versus saline in critically ill adults. New England Journal of Medicine, v. 378, n. 9, p. 829-839, 2018.10. SELF, Wesley H. et al. Balanced crystalloids versus saline in noncritically ill adults. New England Journal of Medicine, v. 378, n. 9, p. 819-828, 2018.
What this episode covers
Joanne, Pedro e João trazem mais uma versão do Polêmicas do Sepse, logo depois da nova publicação do Surviving Sepsis! Nesse episódio mencionamos: 1) Escolha e tempo de antibioticoterapia 2) Qual solução para expansão volêmica e a quantidade necessária 3) Qual droga vasoativa realizar e como fazer E por último, a indicação de bicarbonato na sepse! REFERÊNCIAS 1. EVANS, Laura et al. Surviving sepsis campaign: international guidelines for management of sepsis and septic shock 2021. Intensive care medicine, v. 47, n. 11, p. 1181-1247, 2021. 2. WUTRICH, Yann et al. Early increase in arterial lactate concentration under epinephrine infusion is associated with a better prognosis during shock. Shock, v. 34, n. 1, p. 4-9, 2010. 3. MAITLAND, Kathryn et al. Mortality after fluid bolus in African children with severe infection. New England Journal of Medicine, v. 364, n. 26, p. 2483-2495, 2011. 4. CHURPEK, Matthew M. et al. Quick sepsis-related organ failure assessment, systemic inflammatory response syndrome, and early warning scores for detecting clinical deterioration in infected patients outside the intensive care unit. American journal of respiratory and critical care medicine, v. 195, n. 7, p. 906-911, 2017. 5. GARCIA-ALVAREZ, Mercedes; MARIK, Paul; BELLOMO, Rinaldo. Sepsis-associated hyperlactatemia. Critical care, v. 18, n. 5, p. 1-11, 2014. 6. ZAMPIERI, Fernando G. et al. Effect of Intravenous Fluid Treatment With a Balanced Solution vs 0.9% Saline Solution on Mortality in Critically Ill Patients: The BaSICS Randomized Clinical Trial. Jama, v. 326, n. 9, p. 818-829, 2021. 7. ZAMPIERI, Fernando G. et al. Effect of Slower vs Faster Intravenous Fluid Bolus Rates on Mortality in Critically Ill Patients: The BaSICS Randomized Clinical Trial. JAMA, v. 326, n. 9, p. 830-838, 2021. 8. JABER, Samir et al. Sodium bicarbonate therapy for patients with severe metabolic acidaemia in the intensive care unit (BICAR-ICU): a multicentre, open-label, randomised controlled, phase 3 trial. The Lancet, v. 392, n. 10141, p. 31-40, 2018. 9. SEMLER, Matthew W. et al. Balanced crystalloids versus saline in critically ill adults. New England Journal of Medicine, v. 378, n. 9, p. 829-839, 2018. 10. SELF, Wesley H. et al. Balanced crystalloids versus saline in noncritically ill adults. New England Journal of Medicine, v. 378, n. 9, p. 819-828, 2018.
NOW PLAYING
TdC 111: Polêmicas da Sepse - Atualizações
No transcript for this episode yet
Similar Episodes
Sep 17, 2025 ·24m
Jun 12, 2025 ·20m
May 19, 2025 ·25m
Jan 10, 2025 ·28m
Jan 10, 2025 ·23m