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CE: Managing Sepsis and Septic Shock: Current Guidelines and Definitions
Mary Beth Flynn Makic1, Elizabeth Bridges
1Mary Beth Flynn Makic is a professor in the College of Nursing at the University of Colorado, Anschutz Medical Campus, Aurora. Elizabeth Bridges is a clinical nurse researcher at the University of Washington Medical Center, Seattle, and a professor in the University of Washington School of Nursing. Contact author: Mary Beth Flynn Makic, marybeth.makic@ucdenver.edu. The authors and planners have disclosed no potential conflicts of interest, financial or otherwise.
Early sepsis recognition and intervention are crucial for patient survival. This article reviews updated Surviving Sepsis Campaign guidelines and Sepsis-3 definitions to improve nursing care and patient outcomes.
Area of Science:
- Critical Care Medicine
- Infectious Diseases
- Nursing Practice
Background:
- Sepsis is a major cause of critical illness and hospital mortality.
- The Surviving Sepsis Campaign (SSC) was established to reduce sepsis-related morbidity and mortality.
- Previous guidelines focused on evidence-based practice, with updates every four years.
Purpose of the Study:
- To discuss the updated SSC treatment guidelines and sepsis bundle interventions.
- To explain the Sepsis-3 definitions and their implications for patient care.
- To empower nurses with knowledge to improve patient outcomes in sepsis management.
Main Methods:
- Review of the 2016 Surviving Sepsis Campaign guidelines.
- Analysis of the Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3).
- Discussion of updated tools for predicting adverse outcomes in infected patients.
Main Results:
- New SSC guidelines emphasize early infection identification, risk assessment, rapid antibiotics, and fluid resuscitation.
- Sepsis-3 definitions provide updated criteria for identifying patients along the sepsis continuum.
- The updated guidelines and definitions aim to improve early recognition and intervention for sepsis and septic shock.
Conclusions:
- The 2016 SSC guidelines and Sepsis-3 definitions represent advancements in sepsis care.
- Nurses play a vital role in implementing these changes for better patient outcomes.
- Timely, collaborative action based on current evidence is essential for managing sepsis effectively.
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