急诊科严重脓毒症和脓毒性休克的管理：对英格兰急诊科当前实践的一项调查
Management of severe sepsis and septic shock in the emergency department: a survey of current practice in emergency departments in England.
作者信息
Sivayoham Narani
机构信息
Emergency Department, St George's Hospital, Blackshaw Road, London SW17 0QT, UK.
出版信息
Emerg Med J. 2007 Jun;24(6):422. doi: 10.1136/emj.2007.046060.
Abstract
AIM
To identify the extent to which emergency departments (EDs) in England are involved in the initiation of the pathway to early goal-directed therapy (EGDT) in patients with severe sepsis and septic shock.
METHOD
A survey of 173 EDs in England was carried out over a 2-month period starting in March 2006.
RESULTS
117 (67.6%) departments responded. 22 (18.8%) departments satisfied the following criteria: had a strategy to identify these patients, measured lactate, had a written protocol including EGDT and provided training for their staff. A further 10 (8.5%) EDs were working on initiating the pathway to EGDT.
CONCLUSION
18.8% of EDs in England are able to initiate the pathway to EGDT in patients with severe sepsis and septic shock.
摘要
目的
确定英格兰的急诊科在启动重症脓毒症和脓毒性休克患者早期目标导向治疗（EGDT）途径方面的参与程度。
方法
从2006年3月开始的2个月内，对英格兰的173家急诊科进行了一项调查。
结果
117家（67.6%）科室做出了回应。22家（18.8%）科室符合以下标准：有识别这些患者的策略、检测乳酸水平、有包括EGDT的书面方案并为其工作人员提供培训。另外10家（8.5%）急诊科正在努力启动EGDT途径。
结论
英格兰18.8%的急诊科能够启动重症脓毒症和脓毒性休克患者的EGDT途径。
相似文献
1
Management of severe sepsis and septic shock in the emergency department: a survey of current practice in emergency departments in England.急诊科严重脓毒症和脓毒性休克的管理：对英格兰急诊科当前实践的一项调查
Emerg Med J. 2007 Jun;24(6):422. doi: 10.1136/emj.2007.046060.
2
Early goal-directed therapy, corticosteroid, and recombinant human activated protein C for the treatment of severe sepsis and septic shock in the emergency department.急诊科早期目标导向治疗、皮质类固醇及重组人活化蛋白C治疗严重脓毒症和脓毒性休克
Acad Emerg Med. 2006 Jan;13(1):109-13. doi: 10.1197/j.aem.2005.08.005. Epub 2005 Dec 19.
3
Failure to implement evidence-based clinical guidelines for sepsis at the ED.急诊科未能实施基于证据的脓毒症临床指南。
Am J Emerg Med. 2006 Sep;24(5):553-9. doi: 10.1016/j.ajem.2006.01.012.
4
Severe sepsis and septic shock in the emergency department.急诊科的严重脓毒症和脓毒性休克
Infect Dis Clin North Am. 2008 Mar;22(1):1-31, v. doi: 10.1016/j.idc.2007.09.005.
5
Early goal-directed therapy (EGDT) for severe sepsis/septic shock: which components of treatment are more difficult to implement in a community-based emergency department?针对严重脓毒症/脓毒性休克的早期目标导向治疗（EGDT）：在社区急诊科中，治疗的哪些组成部分更难以实施？
J Emerg Med. 2012 May;42(5):503-10. doi: 10.1016/j.jemermed.2011.03.024. Epub 2011 May 5.
6
A survey of clinicians addressing the approach to the management of severe sepsis and septic shock in the United States.一项针对美国临床医生在严重脓毒症和脓毒性休克管理方法的调查。
J Crit Care. 2010 Dec;25(4):658.e1-6. doi: 10.1016/j.jcrc.2010.04.005. Epub 2010 Jun 19.
7
The utility of a quality improvement bundle in bridging the gap between research and standard care in the management of severe sepsis and septic shock in the emergency department.质量改进方案在急诊科严重脓毒症和脓毒性休克管理中弥合研究与标准治疗之间差距的效用。
Acad Emerg Med. 2007 Nov;14(11):1079-86. doi: 10.1197/j.aem.2007.06.024. Epub 2007 Oct 8.
8
Implementation of a bundle of quality indicators for the early management of severe sepsis and septic shock is associated with decreased mortality.实施一系列用于严重脓毒症和脓毒性休克早期管理的质量指标与死亡率降低相关。
Crit Care Med. 2007 Apr;35(4):1105-12. doi: 10.1097/01.CCM.0000259463.33848.3D.
9
The implementation of new therapies for severe sepsis: some questions raised by "early goal-directed therapy, corticosteroid, and recombinant human activated protein c for the treatment of severe sepsis and septic shock in the emergency department".严重脓毒症新疗法的实施：“急诊科早期目标导向治疗、皮质类固醇及重组人活化蛋白C治疗严重脓毒症和脓毒性休克”引发的一些问题
Acad Emerg Med. 2006 Sep;13(9):997-9; author reply 999-1000. doi: 10.1197/j.aem.2006.05.001. Epub 2006 Jul 6.
10
Management of severe sepsis and septic shock in the Emergency Department: a follow-up survey.急诊科严重脓毒症和脓毒性休克的管理：一项随访调查。
Emerg Med J. 2013 Jul;30(7):602. doi: 10.1136/emermed-2012-201982. Epub 2013 Feb 1.
引用本文的文献
1
Harmonizing international trials of early goal-directed resuscitation for severe sepsis and septic shock: methodology of ProCESS, ARISE, and ProMISe.协调严重脓毒症和脓毒性休克早期目标导向复苏的国际试验：ProCESS、ARISE 和 ProMISe 方法。
Intensive Care Med. 2013 Oct;39(10):1760-75. doi: 10.1007/s00134-013-3024-7. Epub 2013 Aug 30.
2
Lactate clearance in the acutely traumatized patient.急性创伤患者的乳酸清除率
Anesthesiology. 2012 Dec;117(6):1162-4. doi: 10.1097/ALN.0b013e31827334c2.
3
Suspicion and treatment of severe sepsis. An overview of the prehospital chain of care.严重脓毒症的怀疑与治疗。 院前照护链概述。
Scand J Trauma Resusc Emerg Med. 2012 Jun 27;20:42. doi: 10.1186/1757-7241-20-42.
4
Implementing a collaborative protocol in a sepsis intervention program: lessons learned.在脓毒症干预项目中实施协作方案：经验教训。
Lung. 2011 Feb;189(1):11-9. doi: 10.1007/s00408-010-9266-z. Epub 2010 Nov 16.
本文引用的文献
1
Implementation of the sepsis resuscitation bundle: early experiences in a district general hospital.脓毒症复苏集束化治疗的实施：一家地区综合医院的早期经验
Emerg Med J. 2007 Jan;24(1):68-9. doi: 10.1136/emj.2006.040816.
2
Early goal-directed therapy in severe sepsis and septic shock revisited: concepts, controversies, and contemporary findings.重温严重脓毒症和脓毒性休克的早期目标导向治疗：概念、争议与当代研究结果
Chest. 2006 Nov;130(5):1579-95. doi: 10.1378/chest.130.5.1579.
3
Early goal-directed therapy: a UK perspective.早期目标导向治疗：英国视角
Emerg Med J. 2006 Nov;23(11):828-32. doi: 10.1136/emj.2006.039206.
4
Before-after study of a standardized hospital order set for the management of septic shock.关于脓毒性休克管理的标准化医院医嘱集的前后对照研究。
Crit Care Med. 2006 Nov;34(11):2707-13. doi: 10.1097/01.CCM.0000241151.25426.D7.
5
Surviving Sepsis Campaign guidelines for management of severe sepsis and septic shock.拯救脓毒症运动：严重脓毒症和脓毒性休克管理指南
Crit Care Med. 2004 Mar;32(3):858-73. doi: 10.1097/01.ccm.0000117317.18092.e4.
6
Early goal-directed therapy in the treatment of severe sepsis and septic shock.早期目标导向治疗在严重脓毒症和脓毒性休克治疗中的应用
N Engl J Med. 2001 Nov 8;345(19):1368-77. doi: 10.1056/NEJMoa010307.
Zotero 插件