SCCM Resource Library-Internal Medicine Review 2

Video Transcription

Video Summary

Dr. Lakshmi Santosh, an Assistant Professor of Pulmonary and Critical Care at UCSF, provides an overview of the year in review in sepsis. She begins by discussing the new surviving sepsis guidelines, highlighting the new recommendations including early administration of antibiotics, the use of norepinephrine as the first-line vasopressor, and the de-emphasis of the QSOFA score. She also mentions the importance of avoiding starches and gelatins, as well as the lack of benefit from vitamin C. Dr. Santosh then discusses the topic of intravenous fluids, summarizing the basics trial which compared balanced solutions to normal saline and found no difference in mortality. She also mentions the plus trial which had similar findings. Next, she explores the role of big data and machine learning in sepsis surveillance, discussing the limitations of electronic health record algorithms and the ongoing efforts to improve sepsis prediction. Finally, Dr. Santosh talks about the long-term effects of sepsis, including physical, mental, and cognitive challenges faced by survivors. She highlights the growing number of post-ICU clinics that have emerged to address these issues.

Asset Subtitle

Research, Quality and Patient Safety, 2022

Asset Caption

This session will highlight the latest research, lessons learned, and changes taking place in critical care internal medicine practice during the past year.

Meta Tag

Content Type Presentation

Knowledge Area Research

Knowledge Area Quality and Patient Safety

Knowledge Level Foundational

Knowledge Level Intermediate

Knowledge Level Advanced

Membership Level Select

Tag Outcomes Research

Tag Evidence Based Medicine

Year 2022

Keywords

sepsis guidelines

early administration of antibiotics

norepinephrine as first-line vasopressor

intravenous fluids

big data

long-term effects of sepsis

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