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[拯救脓毒症运动国际指南:2012年更新版]

[International guidelines of the Surviving Sepsis Campaign : update 2012].

作者信息

Briegel J, Möhnle P

机构信息

Klinik für Anästhesiologie, Klinikum der Universität München, Marchioninistr. 15, 81337, München, Deutschland.

出版信息

Anaesthesist. 2013 Apr;62(4):304-9. doi: 10.1007/s00101-013-2158-x.

DOI:10.1007/s00101-013-2158-x
PMID:23558718
Abstract

An update of the international guidelines for therapy of sepsis was published in February 2012 by the Surviving Sepsis Campaign (SSC). The update includes a further development of the guidelines from 2004 and 2008. The guidelines are divided into three sections, sepsis-specific therapeutic measures, recommendations on general intensive care measures for sepsis and finally special features of sepsis in pediatric intensive care medicine are presented in detail. This article discusses the most important amendments in the first two sections and delving deeper into the guidelines.

摘要

2012年2月,拯救脓毒症运动(SSC)发布了国际脓毒症治疗指南的更新版。该更新版包括了2004年和2008年指南的进一步发展。指南分为三个部分,分别是脓毒症特异性治疗措施、脓毒症一般重症监护措施的建议,最后详细介绍了儿科重症医学中脓毒症的特殊情况。本文讨论了前两个部分中最重要的修订内容,并对指南进行更深入的探讨。

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本文引用的文献

1
[Change in therapy target and therapy limitations in intensive care medicine. Position paper of the Ethics Section of the German Interdisciplinary Association for Intensive Care and Emergency Medicine].[重症医学中治疗目标的变化与治疗局限性。德国重症与急诊医学跨学科协会伦理委员会立场文件]
Anaesthesist. 2013 Jan;62(1):47-52. doi: 10.1007/s00101-012-2126-x.
2
Surviving Sepsis Campaign: international guidelines for management of severe sepsis and septic shock, 2012.拯救脓毒症运动:严重脓毒症和脓毒性休克管理国际指南,2012 年。
Intensive Care Med. 2013 Feb;39(2):165-228. doi: 10.1007/s00134-012-2769-8. Epub 2013 Jan 30.
3
降钙素原作为脓毒症的预后标志物:一项前瞻性观察研究。
BMC Res Notes. 2014 Jul 17;7:458. doi: 10.1186/1756-0500-7-458.
4
Hydrogen gas presents a promising therapeutic strategy for sepsis.氢气是一种很有前景的脓毒症治疗策略。
Biomed Res Int. 2014;2014:807635. doi: 10.1155/2014/807635. Epub 2014 Apr 16.
Treatment of neonatal sepsis with intravenous immune globulin.
静脉注射免疫球蛋白治疗新生儿败血症。
N Engl J Med. 2011 Sep 29;365(13):1201-11. doi: 10.1056/NEJMoa1100441.
4
Early versus late parenteral nutrition in critically ill adults.危重症成人的早期与晚期肠外营养。
N Engl J Med. 2011 Aug 11;365(6):506-17. doi: 10.1056/NEJMoa1102662. Epub 2011 Jun 29.
5
[Procalcitonin-based algorithm. Management of antibiotic therapy in critically ill patients].[基于降钙素原的算法。危重症患者抗生素治疗的管理]
Anaesthesist. 2011 Jul;60(7):661-73. doi: 10.1007/s00101-011-1884-1.
6
The impact of packed red blood cell transfusion on clinical outcomes in patients with septic shock treated with early goal directed therapy.早期目标导向治疗的脓毒症休克患者接受浓缩红细胞输注对临床结局的影响。
Indian J Crit Care Med. 2010 Oct;14(4):165-9. doi: 10.4103/0972-5229.76078.
7
Neuromuscular blockers in early acute respiratory distress syndrome.早期急性呼吸窘迫综合征中的神经肌肉阻滞剂。
N Engl J Med. 2010 Sep 16;363(12):1107-16. doi: 10.1056/NEJMoa1005372.
8
Early lactate-guided therapy in intensive care unit patients: a multicenter, open-label, randomized controlled trial.早期乳酸导向治疗 ICU 患者:一项多中心、开放标签、随机对照试验。
Am J Respir Crit Care Med. 2010 Sep 15;182(6):752-61. doi: 10.1164/rccm.200912-1918OC. Epub 2010 May 12.
9
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