Do clinical guidelines improve management of sepsis in critically ill elderly patients? A before-and-after study of the implementation of a sepsis protocol

Abstract

The use of standardized order sets for the management of sepsis in elderly patients should be strongly recommended for better performance in treatment. Compliance with the protocol was associated with reduced length of stay, reduced mortality, and improved initial appropriate therapy.

Assessment and management of hypotension in the elderly patient

“…Heppner et al . [ 13 ] found the introduction of a sepsis bundle pathway reduced length of stay and reduced mortality in ICU, which was currently in use in the ED for this audit.…”

„Zu alt für die Intensivstation“ gilt nicht generell

“…Die moderne Intensivmedizin wird ohne standardisierte Behandlungsprotokolle und geriatrische Grundkenntnisse nicht mehr auskommen [1]. Einer Erhebung von Bagshaw zufolge sind rund 20 % der Patienten z.…”

Conservative fluid therapy in septic shock: an example of targeted therapeutic minimization

“…2009, Italy [ 34 ] (−) Fluids targeting CVP >6 mmHg or a global end-diastolic volume by trans-pulmonary thermodilution >700 ml/m 2 Quantified but not reported Heppner et al . 2012, Germany [ 39 ] (−) 500 ml crystalloid bolus, repeat until CVP 8–12 mmHg Quantified but not reported. Jones et al .…”