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Sepsis Management: Runal Shah 1 Year Resident MEM, Kdah, Mumbai
Sepsis Management: Runal Shah 1 Year Resident MEM, Kdah, Mumbai
Runal Shah
1st year Resident MEM,
KDAH,
Mumbai.
What is Infection ?
• Infection is the invasion of a host organism's
body tissues by disease-causing agents, their multiplication, and
the reaction of host tissues to these organisms and
the toxins they produce.
Severe Sepsis:
• Sepsis + CVS dysfunction / ARDS / >=2 other organs
dysfunction
Septic Shock:
• Acute circulatory failure – Persistent arterial hypotension
despite adequate fluid resuscitation.
• Hypotension = SBP < 90 mm Hg / MAP <60 mm Hg / fall of
SBP >40 mm Hg
Sepsis Six
Sepsis Six to be delivered within 6 hours -
• Ampicillin+Sulbactam / Piperacillin+Tazobactam /
Ticarcillin+Clavunate
Suspected LRTI:
S.Pneumonia, Methicillin Resistant S.Aureus, Legionella