Skip to main content
Top
Published in: Intensive Care Medicine 3/2017

01-03-2017 | What's New in Intensive Care

Does this patient have septic shock?

Authors: Chawika Pisitsak, Keith R. Walley

Published in: Intensive Care Medicine | Issue 3/2017

Login to get access

Excerpt

The diagnosis of septic shock is typically not straightforward since sepsis presents with an array of clinical features and very frequently occurs in the context of other disease states. Rapid diagnosis of septic shock requires both an approach to the differential diagnosis of shock and an approach to the diagnosis of sepsis. Interestingly, the clinical history is often the most specific clinical feature. …
Literature
3.
go back to reference Puskarich MA, Trzeciak S, Shapiro NI, Heffner AC, Kline JAJA (2011) Outcomes of patients undergoing early sepsis resuscitation for cryptic shock compared with overt shock. Resuscitation 82:1289–1293CrossRefPubMedPubMedCentral Puskarich MA, Trzeciak S, Shapiro NI, Heffner AC, Kline JAJA (2011) Outcomes of patients undergoing early sepsis resuscitation for cryptic shock compared with overt shock. Resuscitation 82:1289–1293CrossRefPubMedPubMedCentral
5.
6.
go back to reference Bone R, Balk R, Cerra F et al (1992) Definitions for sepsis and organ failure and guidelines for the use of innovative therapies in sepsis. The ACCP/SCCM Consensus Conference Committee. American College of Chest Physicians/Society of Critical Care Medicine. Chest 101:1644–1655CrossRefPubMed Bone R, Balk R, Cerra F et al (1992) Definitions for sepsis and organ failure and guidelines for the use of innovative therapies in sepsis. The ACCP/SCCM Consensus Conference Committee. American College of Chest Physicians/Society of Critical Care Medicine. Chest 101:1644–1655CrossRefPubMed
10.
12.
go back to reference Rhodes A, Phillips G, Beale R et al (2015) The Surviving Sepsis Campaign bundles and outcome: results from the International Multicentre Prevalence Study on Sepsis (the IMPreSS study). Intensive Care Med 41:1620–1628. doi:10.1007/s00134-015-3906-y CrossRefPubMed Rhodes A, Phillips G, Beale R et al (2015) The Surviving Sepsis Campaign bundles and outcome: results from the International Multicentre Prevalence Study on Sepsis (the IMPreSS study). Intensive Care Med 41:1620–1628. doi:10.​1007/​s00134-015-3906-y CrossRefPubMed
13.
go back to reference Rivers E, Nguyen B, Havstad S, Ressler J, Muzzin A, Knoblich B, Peterson E, Tomlanovich M (2001) Early goal-directed therapy in the treatment of severe sepsis and septic shock. N Engl J Med 345:1368–1377CrossRefPubMed Rivers E, Nguyen B, Havstad S, Ressler J, Muzzin A, Knoblich B, Peterson E, Tomlanovich M (2001) Early goal-directed therapy in the treatment of severe sepsis and septic shock. N Engl J Med 345:1368–1377CrossRefPubMed
14.
go back to reference Mouncey PR, Osborn TM, Power GS, Harrison DA, Sadique MZ, Grieve RD, Jahan R, Harvey SE, Bell D, Bion JF, Coats TJ, Singer M, Young JD, Rowan KM, ProMISe Trial Investigators (2015) Trial of early, goal-directed resuscitation for septic shock. N Engl J Med 372:1301–1311. doi:10.1056/NEJMoa1500896 CrossRefPubMed Mouncey PR, Osborn TM, Power GS, Harrison DA, Sadique MZ, Grieve RD, Jahan R, Harvey SE, Bell D, Bion JF, Coats TJ, Singer M, Young JD, Rowan KM, ProMISe Trial Investigators (2015) Trial of early, goal-directed resuscitation for septic shock. N Engl J Med 372:1301–1311. doi:10.​1056/​NEJMoa1500896 CrossRefPubMed
16.
go back to reference ARISE Investigators, ANZICS Clinical Trials Group (2015) Goal-directed resuscitation for patients with early septic shock. N Engl J Med 371:1496–1506. doi:10.1056/NEJMoa1404380 ARISE Investigators, ANZICS Clinical Trials Group (2015) Goal-directed resuscitation for patients with early septic shock. N Engl J Med 371:1496–1506. doi:10.​1056/​NEJMoa1404380
17.
go back to reference Marik PE, Cavallazzi R, Vasu T, Hirani A (2009) Dynamic changes in arterial waveform derived variables and fluid responsiveness in mechanically ventilated patients: a systematic review of the literature. Crit Care Med 37:2642–2647. doi:10.1097/CCM.0b013e3181a590da CrossRefPubMed Marik PE, Cavallazzi R, Vasu T, Hirani A (2009) Dynamic changes in arterial waveform derived variables and fluid responsiveness in mechanically ventilated patients: a systematic review of the literature. Crit Care Med 37:2642–2647. doi:10.​1097/​CCM.​0b013e3181a590da​ CrossRefPubMed
18.
go back to reference Barbier C, Loubières Y, Schmit C et al (2004) Respiratory changes in inferior vena cava diameter are helpful in predicting fluid responsiveness in ventilated septic patients. Intensive Care Med 30:1740–1746. doi:10.1007/s00134-004-2259-8 PubMed Barbier C, Loubières Y, Schmit C et al (2004) Respiratory changes in inferior vena cava diameter are helpful in predicting fluid responsiveness in ventilated septic patients. Intensive Care Med 30:1740–1746. doi:10.​1007/​s00134-004-2259-8 PubMed
Metadata
Title
Does this patient have septic shock?
Authors
Chawika Pisitsak
Keith R. Walley
Publication date
01-03-2017
Publisher
Springer Berlin Heidelberg
Published in
Intensive Care Medicine / Issue 3/2017
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-015-4193-3

Other articles of this Issue 3/2017

Intensive Care Medicine 3/2017 Go to the issue