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  • SSC Guidelines 2021 - Combined Infographics

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    MARTINEZ BONO MAGDALENA PILAR
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    This document provides guidelines for the timing of antibiotic administration for patients with sepsis or septic shock. It recommends administering antibiotics immediately, ideally within 1 hour, for patients with definite or probable sepsis regardless of shock status. For patients with possible sepsis, it recommends rapid assessment of infectious vs non-infectious causes of illness and administering antibiotics within 1 hour if sepsis is confirmed or within 3 hours if concern persists. It also provides guidelines for vasoactive agent management for patients with septic shock, recommending norepinephrine as first-line and targeting a MAP of 65 mm Hg.

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    SSC Guidelines 2021_Combined Infographics

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    This document provides guidelines for the timing of antibiotic administration for patients with sepsis or septic shock. It recommends administering antibiotics immediately, ideally within 1 hour, for patients with definite or probable sepsis regardless of shock status. For patients with possible sepsis, it recommends rapid assessment of infectious vs non-infectious causes of illness and administering antibiotics within 1 hour if sepsis is confirmed or within 3 hours if concern persists. It also provides guidelines for vasoactive agent management for patients with septic shock, recommending norepinephrine as first-line and targeting a MAP of 65 mm Hg.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    2 views2 pages

    SSC Guidelines 2021 - Combined Infographics

    Uploaded by

    MARTINEZ BONO MAGDALENA PILAR
    This document provides guidelines for the timing of antibiotic administration for patients with sepsis or septic shock. It recommends administering antibiotics immediately, ideally within 1 hour, for patients with definite or probable sepsis regardless of shock status. For patients with possible sepsis, it recommends rapid assessment of infectious vs non-infectious causes of illness and administering antibiotics within 1 hour if sepsis is confirmed or within 3 hours if concern persists. It also provides guidelines for vasoactive agent management for patients with septic shock, recommending norepinephrine as first-line and targeting a MAP of 65 mm Hg.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    Antibiotic

    Timing

    Shock is present Shock is absent

    Sepsis is Administer antimicrobials Administer antimicrobials


    definite or immediately, ideally within immediately, ideally within
    probable 1 hour of recognition. 1 hour of recognition.

    Sepsis is Administer antimicrobials Rapid assessment*


    immediately, ideally of infectious vs.
    possible
    within 1 hour of noninfectious causes
    recognition. of acute illness.

    *Rapid assessment includes history and clinical Administer antimicrobials


    examination, tests for both infectious and noninfectious within 3 hours if concern
    causes of acute illness, and immediate treatment of for infection persists.
    acute conditions that can mimic sepsis. Whenever
    possible, this should be completed within 3 hours of
    presentation so that a decision can be made as to
    the likelihood of an infectious cause of the patient’s
    presentation and timely antimicrobial therapy provided
    if the likelihood is thought to be high.

    © 2021 Society of Critical Care Medicine and European Society of Intensive Care Medicine.
    The Society of Critical Care Medicine and SCCM are registered trademarks of the Society of Critical Care Medicine.
    Vasoactive Agent
    Management
    Use norepinephrine as first-line
    vasopressor.

    Target a MAP of 65 mm Hg.


    For patients with septic
    shock on vasopressors
    Consider invasive monitoring of arterial
    ! blood pressure.

    If central access is not Consider initiating vasopressors


    yet available ! peripherally.*

    If MAP is inadequate despite


    low-to-moderate norepinephrine ! Consider adding vasopressin.

    If cardiac dysfunction with


    persistent hypoperfusion is Consider adding dobutamine or switching
    present despite adequate volume
    ! to epinephrine.
    status and blood pressure

    Strong recommendations are displayed in green


    Weak recommendations are displayed in yellow.

    *When vasopressors are used peripherally, they should be administered only


    for a short period of time and in a vein proximal to the antecubital fossa.

    © 2021 Society of Critical Care Medicine and European Society of Intensive Care Medicine.
    The Society of Critical Care Medicine and SCCM are registered trademarks of the Society of Critical Care Medicine.

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