SCCM Resource Library-New SCCM Guidelines: Liver Failure, New Fever, and Corticosteroids

Video Transcription

Video Summary

The presentation offered detailed insights into guidelines for managing peritransplant gastrointestinal (GI) considerations, neurologic and infectious diseases (ID) complications, tackling sepsis, acute respiratory distress syndrome (ARDS), and community-acquired pneumonia in critically ill patients. Key recommendations include early endoscopy for acute and chronic liver failure patients with GI bleeding, the use of proton pump inhibitors, octreotide, and somatostatin analogs for portal hypertensive bleeding, and TIPS procedure considerations. In neurologic and ID considerations, lactulose, antibiotics for upper GI bleeding, and antifungal prophylaxis in transplant cases are suggested. The complexities of fever evaluation in the ICU were also discussed, focusing on temperature measurement and fever management without aggressive testing. Lastly, updated 2024 guidelines for corticosteroids in sepsis, ARDS, and community-acquired pneumonia were shared, emphasizing conditional recommendations to use steroids in septic shock and ARDS while strongly recommending them for severe pneumonia cases. Overall, while addressing practical guidelines, the presenters underscored the need for ongoing research and judicious application of corticosteroid therapy due to variability in data and patient response.

Asset Caption

One-Hour Concurrent Session | New SCCM Guidelines: Liver Failure, New Fever, and Corticosteroids

Meta Tag

Content Type Presentation

Membership Level Professional

Membership Level Select

Year 2024

Keywords

peritransplant GI considerations

neurologic complications

infectious diseases

sepsis management

acute respiratory distress syndrome

community-acquired pneumonia

corticosteroids guidelines

portal hypertensive bleeding

fever evaluation ICU

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