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== 2012 Guidelines== | === 2012 Guidelines=== | ||
'''Surviving Sepsis Campaign guidelines for severe sepsis and septic shock''' (2012)<ref>[http://www.sccm.org/Documents/SSC-Guidelines.pdf#page=19 Surviving Sepsis Campaign 2012 guidelines]</ref> | '''Surviving Sepsis Campaign guidelines for severe sepsis and septic shock''' (2012)<ref>[http://www.sccm.org/Documents/SSC-Guidelines.pdf#page=19 Surviving Sepsis Campaign 2012 guidelines]</ref> | ||
* Do not use IV hydrocortisone to treat adult septic shock patients if adequate fluid resuscitation and vasopressor | * Do not use IV hydrocortisone to treat adult septic shock patients if adequate fluid resuscitation and vasopressor | ||
Revisión del 11:36 10 mar 2014
2012 Guidelines
Surviving Sepsis Campaign guidelines for severe sepsis and septic shock (2012)[1]
- Do not use IV hydrocortisone to treat adult septic shock patients if adequate fluid resuscitation and vasopressor
therapy are able to restore hemodynamic stability. Otherwise intravenous hydrocortisone alone at a dose of 200 mg per day (grade 2C)
- Do not use ACTH stimulation test to identify adults with septic shock who should receive hydrocortisone (grade 2B).
- Tapering off hydrocortisone when vasopressors are no longer required is not needed (grade 2D).
- Do not use corticosteroids for the treatment of sepsis in the absence of shock (grade 1D).
- When hydrocortisone is given, use continuous flow (grade 2D)