SCCM Resource Library-SSC Adult Guidelines 2021: What's New and What's Changed?

Video Transcription

Video Summary

The 2021 Surviving Sepsis Campaign Guidelines for the Treatment of Sepsis and Septic Shock were discussed in a webcast moderated by Craig Coopersmith, the director of the Emory Critical Care Center in Atlanta. The guidelines were developed by a diverse panel of experts and cover a range of topics including screening, resuscitation, infection management, hemodynamic support, ventilatory support, adjunctive therapies, and long-term outcomes. Some of the key changes in the guidelines include:<br /><br />1. Use of QSOFA as a single screening tool for sepsis or septic shock is not recommended, as it underperforms compared to other tools.<br /><br />2. Fluid resuscitation should be guided by lactate levels and capillary refill time. Lactate levels should be monitored to ensure they are decreasing with resuscitation, while capillary refill time can be used as an adjunct measure of perfusion.<br /><br />3. Balanced crystalloids, rather than normal saline, are recommended for fluid resuscitation.<br /><br />4. Vasopressors can be administered peripherally to avoid delays in restoring blood pressure.<br /><br />5. Intravenous corticosteroids should be considered in patients with septic shock who require vasopressor therapy.<br /><br />6. Intravenous vitamin C is not recommended for the treatment of sepsis or septic shock.<br /><br />7. The guidelines now include recommendations for long-term outcomes and recovery, such as offering sepsis education prior to discharge and in the follow-up setting, screening for economic and social support, and practicing shared decision-making in discharge planning.<br /><br />Overall, the guidelines aim to provide evidence-based recommendations for the management of sepsis and septic shock, taking into account the individual patient's clinical status.

Asset Subtitle

Sepsis, 2021

Asset Caption

The Society of Critical Care Medicine (SCCM) is offering a FREE webcast to provide updates on the new and modified Surviving Sepsis Campaign recommendations for adult patients with sepsis and septic shock.

Meta Tag

Content Type Webcast

Knowledge Area Sepsis

Knowledge Level Foundational

Knowledge Level Intermediate

Knowledge Level Advanced

Learning Pathway Sepsis Resources

Membership Level Nonmember

Membership Level Associate

Membership Level Professional

Membership Level Select

Tag Shock

Year 2021

Keywords

2021 Surviving Sepsis Campaign Guidelines

Treatment of Sepsis

Septic Shock

Webcast

Craig Coopersmith

Fluid resuscitation

Lactate levels

Balanced crystalloids

Vasopressors

Intravenous corticosteroids

Sepsis

Shock

Nonmember

Associate

Professional

Select

2021

Foundational

Intermediate

Advanced

Sepsis Resources

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