Sepsis and Septic Shock in Pregnancy - Children's Memorial ...

More documents

Recommendations

Info

Systemic Inflammatory ResponseSyndrome (SIRS or SSI)• Inflammatory process– Infection– Noninfectious (burns, trauma)• Requires 2 or more of following:– Temp > 38 0 C or < 36 0 C– HR > 90 bpm– RR > 20/min or PaCO 2 < 32 mmHg– WBC > 12,000, < 4,000 or > 10% bands• Criteria may differ with physiology of pregnancy– HR >110 bpm, RR >24/min, Temp > 39 0 C– WBC > 15,000
Definitions• Sepsis– SIRS due to infection• Severe Sepsis– Sepsis associated with:• Organ dysfunction• Hypotension• Hypoperfusion– Hypoperfusion abnormalities include:• Lactic acidosis• Oliguria• Acute alteration in mental status
Page 1 and 2: Sepsis and Septic Shockin Pregnancy
Page 3 and 4: Cases / 100,000Deaths/YearCompariso
Page 5 and 6: Maternal mortality, 1842“It is no
Page 7: The Intervention:Hand scrub with ch
Page 11 and 12: Case History• 31 wks, sore throat
Page 13 and 14: Group A StreptococcusThe Etiology,
Page 17 and 18: MicroabscessFascia
Page 19 and 20: Early Goal Directed Therapy• Earl
Page 21 and 22: Mortality (%)The Importance of Earl
Page 23 and 24: Algorithm for Septic Shock in Pregn
Page 25 and 26: Antimicrobial Therapy• Infection
Page 27 and 28: Post-op C/SMultilocularabscessDispl
Page 29 and 30: Postpartumnecrotizingfasciitis
Page 31 and 32: Empiric Antimicrobial Therapy• Ge
Page 33 and 34: Vasoactive Therapy• Indication- H
Page 35 and 36: Corticosteroids• Treat patients w
Page 37 and 38: Presentation: Temp 103.5, severe fl
Page 39 and 40: Maintenance PhaseAnticipation of co
Page 41 and 42: H1N1 influenza-associated ARDS: Bil
Page 43 and 44: Indications for surgical interventi
Page 46 and 47: Obesity Trends*Among U.S. AdultsDon
Page 48 and 49: Outcome
Page 50 and 51: References• Mabie WC, Barton JR,
Page 52 and 53: References• Walsh C, Scaife C, Ho
Page 54 and 55: References• Kitter ND, McMullen K
Page 56 and 57: Historical Guidelines for Sepsis Th
Page 58 and 59:
Probability of SurvivalFluid Resusc
Page 60 and 61:
Drotrecogin Alfa (Xigris)• Decrea
Page 62 and 63:
VentricularFunctionGroup INormalGro
Page 64 and 65:
Varicella-Zosterin Pregnancy
Page 66:
BACKGROUNDGlobal• Puerperal sepsi
show all

Sepsis and Septic Shock in Pregnancy - Children's Memorial ...

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?