Multiprofessional Critical Care Review: Pediatric 2024 (MCCRCP24ON)-Clinical Guidelines for the Management of Pediatric Sepsis

Clinical Guidelines for the Management of Pediatric Sepsis

Video Transcription

Video Summary

The talk discusses sepsis treatment, emphasizing the importance of bedside care over strict terminological definitions. Using the Surviving Sepsis Campaign guidelines as a framework, key steps include systematic screening, timely antibiotic administration, fluid management, and the use of vasoactives. Screening aims for early detection to improve outcomes, although no specific method is universally preferred. Antibiotics should be given within one hour for septic shock and up to three hours for suspected sepsis, balancing timely treatment with avoiding unnecessary antibiotic use. Fluid administration should be titrated to the patient's needs, with balanced crystalloids preferred over saline. Vasoactives like epinephrine or norepinephrine are recommended over dopamine, with potential use of vasopressin or milrinone as adjuncts. The talk concludes by advocating for individualized treatment approaches based on patient-specific needs rather than rigid protocols.

Keywords

sepsis treatment

Surviving Sepsis Campaign

antibiotic administration

fluid management

vasoactives

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