scholarly journals Critical care ultrasound goal-directed versus early goal-directed therapy in septic shock

2021 ◽  
Author(s):  
Kun Yu ◽  
Shucheng Zhang ◽  
Ni Chen ◽  
Miao Chen ◽  
Wei Zhang ◽  
...  
Keyword(s):  
Septic Shock ◽  
Critical Care ◽  
Goal Directed Therapy ◽  
Early Goal Directed Therapy ◽  
Critical Care Ultrasound

Practical Barriers to the Implementation of Early Goal Directed Therapy in the UK: Trainee Skills and Awareness

2009 ◽  
Vol 54 (3) ◽  
pp. 22-24 ◽  
Author(s):  
Sj Mcnally ◽  
M Mackinnon ◽  
M Hawkins
Keyword(s):  
Septic Shock ◽  
Critical Care ◽  
General Medicine ◽  
Acute Hospital ◽  
Surviving Sepsis Campaign ◽  
Goal Directed Therapy ◽  
Knowledge And Skills ◽  
Early Goal Directed Therapy ◽  
Full Complement ◽  
The Uk

The Surviving Sepsis Campaign (SSC) recommends Early Goal Directed Therapy (EGDT) in the treatment of septic shock, which requires key critical care skills and knowledge. This study evaluates the availability of these skills in Specialist Registrars in acute hospital specialities in the UK. A questionnaire was sent to Specialist Registrars in Anaesthetics, General Surgery and General Medicine throughout Scotland. One hundred and eighty five responses were obtained. One hundred percent of anaesthetists, 70% of surgeons and 51% of physicians were aware of EGDT. Only 62 trainees (6% of surgeons, 79% of anaesthetists, 19% of physicians) had the full complement of skills and knowledge to implement EGDT. This study demonstrates that non-anaesthetic registrars in the UK lack both knowledge and skills required to provide EGDT. The main deficit was in awareness, demonstrating that knowledge of EGDT is not penetrating into specialities beyond anaesthesia. It is now time for the SSC to specifically target non-anaesthetic specialities.

Early Goal-Directed Therapy in Severe Sepsis and Septic Shock Revisited

CHEST Journal ◽  
2006 ◽  
Vol 130 (5) ◽  
pp. 1579-1595 ◽  
Author(s):  
Ronny M. Otero ◽  
H. Bryant Nguyen ◽  
David T. Huang ◽  
David F. Gaieski ◽  
Munish Goyal ◽  
...  
Keyword(s):  
Septic Shock ◽  
Severe Sepsis ◽  
Goal Directed Therapy ◽  
Early Goal Directed Therapy ◽  
Sepsis And Septic Shock

Early Goal-Directed Therapy in the Treatment of Severe Sepsis and Septic Shock

2018 ◽  
pp. 104-108
Keyword(s):  
Intensive Care Unit ◽  
Emergency Department ◽  
Septic Shock ◽  
Severe Sepsis ◽  
Intensive Care ◽  
Oxygen Demand ◽  
Goal Directed Therapy ◽  
Early Goal Directed Therapy ◽  
Study Results ◽  
Sepsis And Septic Shock

This case focuses on detecting sepsis through early goal-directed therapies by asking the question: Does aggressive correction of hemodynamic disturbances in the early stages of sepsis improve outcomes? Early goal-directed therapies are aimed at restoring a balance between oxygen delivery and oxygen demand. Patients included in the study were adults presenting to the emergency room with severe sepsis or septic shock. Study results indicated that most patients with severe sepsis or septic shock should be managed with aggressive hemodynamic monitoring and support immediately on presentation in the emergency department (or, if this is not possible, in the intensive care unit) for 6 hours or until there is resolution of hemodynamic disturbances.

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