Experts disagree about use of antibiotics, IV fluids, and quality measures.
New-onset afib in sepsis related to sepsis risk factors, review finds | ACP Hospitalist Weekly | ACP Hospitalist
Corticosteroid use, right-heart catheterization, fungal infection, vasopressor use, and a mean arterial pressure target of 80 to 85 mm Hg were associated with a greater than 50% increase in atrial fibrillation risk.
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The current definition of sepsis is not well known by most physicians. Many think a diagnosis requires positive blood cultures and is associated with an extremely grim prognosis, but this is no longer so.
The authors expressed concern that basing hospital accreditation and reimbursement on use of SEP-1 interventions for all septic patients will transform unproven practices into universal care and potentially harm patients.
Diagnostic criteria are often misapplied.
Several types of myocardial dysfunction common in sepsis patients | ACP Hospitalist Weekly | ACP Hospitalist
Myocardial dysfunction is frequent in patients with severe sepsis or septic shock, and has a wide spectrum of types, a new study found.
Bundle compliance increased, mortality decreased under New York sepsis regulations | ACP Hospitalist Weekly | ACP Hospitalist
Under “Rory's Regulations,” use of the three-hour bundle for severe sepsis and septic shock increased from 53.4% to 64.7%, while six-hour bundle compliance increased from 23.9% to 30.8%.
If physicians do not follow severe sepsis management measure definitions, a deficiency in the quality of care for severe sepsis management could be reported to the CDC and CMS.
Activating a sepsis response team and using weekly feedback reduced mortality for ICU patients with severe sepsis or septic shock, a study found.