Surviving Sepsis Campaing Resultados y futuro

83 Pages·2015·7.09 MB·English

Surviving
 Sepsis
 Campaing

Resultados
 y
 futuro

Ricard
 Ferrer

Intensive
 Care
 Department

Mutua
 Terrassa
 University
 Hospital

Barcelona.
 SPAIN
Phase 1 Barcelona declaration
Phase 2 Evidence based guidelines
Phase 3 Implementation and Education
Surviving
 Sepsis
 Campaign:
 Timeline

Guidelines

Barcelona
  Phase
 III
 starts:
  Guidelines

And
 bundles

Declara<on
  IHI
 partnership
  Revision

Revision

2004
  2010

2006
  2014

2002
  2012

2005
  2008

NEJM
 editorial
  Results
  Results

published
  published

15,000
 pts
  30,000
 pts

SSC
 Guidelines

20%
 RRR
  27%
 RRR
Surviving Sepsis Campaign (SSC)
guidelines for management of severe
sepsis and septic shock
Dellinger RP, Carlet JM, Masur H, Gerlach H, Calandra T, Cohen J,
Gea-Banacloche J, Keh D, Marshall JC, Parker MM, Ramsay G,
Zimmerman JL, Vincent JL, Levy MM
Crit Care Med 2004;32:858-873
Intensive Care Med 2004;30:536-555
Surviving Sepsis Campaign: International
guidelines for management of severe sepsis
and septic shock: 2008

Dellinger RP, Levy MM, Carlet JM, Bion J, Parker MM, Jaeschke R,
Reinhart K, Angus DC, Brun-Buisson C, Beale R, Calandra T,
Dhainaut JF, Gerlach H, Harvey M, Marini JJ, Marshall J, Ranieri
M, Ramsay G, Sevransky J, Thompson BT, Townsend S, Vender
JS, Zimmerman JL, Vincent JL.

Crit Care Med 2008; 36:296-327
Intensive Care Med 2008;30:536-555
Surviving
 Sepsis
 Campaign:
 Interna<onal

guidelines
 for
 management
 of
 severe
 sepsis

and
 sep<c
 shock:
 2012

R
 Phillip
 Delllinger
 MD1;
 Mitchell
 M.
 Levy
 MD2,
 Andrew
 Rhodes
 MD
 BS3;
 Djillali
 Annane

MD4;
 Herwig
 Gerlach
 MD
 PhD5;
 Steven
 M.
 Opal
 MD6;
 Jonathan
 E.
 Sevransky
 MD7;
 Charles

L.
 Sprung
 MD8;
 Ivor
 S.
 Douglas
 MD9;
 Roman
 Jaeschke
 MD10;
 Tiffany
 M.
 Osborn
 MD
 MPH11;

Mark
 E.
 Nunnally
 MD12;
 Sean
 R.
 Townsend
 MD13;
 Konrad
 Reinhart
 MD14;
 Ruth
 M.
 Kleinpell

PhD
 RN-­‐CS15;
 Derek
 C.
 Angus
 MD
 MPH16,
 Clifford
 S.
 Deutschman
 MD
 MS17;
 Flavia
 R.

Machado
 MD
 PhD18,
 Gordon
 Dr.
 Rubenfeld
 MD19;
 Steven
 A.
 Webb
 MB
 BS
 PhD20;
 Richard
 J.

Beale
 MB
 BS21;
 Jean-­‐Louis
 Vincent
 MD
 PhD22;
 Rui
 Moreno
 MD
 PhD23;
 and
 the
 Surviving

Sepsis
 Campaign
 Guidelines
 Commi‘ee
 including
 the
 Pediatric
 Subgroup*

Cri<cal
 Care
 Med.
 2013
 Feb;41(2):580-­‐637

Intensive
 Care
 Med.
 2013
 Feb;39(2):165-­‐228
Current
 Surviving
 Sepsis
 Campaign

Guidelines
 Sponsors

•  European
 Society
 of
 Intensive
 Care
 Medicine

•  American
 Associa<on
 of
 Cri<cal-­‐Care

•  European
 Society
 of
 Pediatric
 and
 Neonatal

Nurses

Intensive
 Care

•  American
 College
 of
 Chest
 Physicians

•  German
 Sepsis
 Society

•  American
 College
 of
 Emergency
 Physicians

•  Infec<ous
 Diseases
 Society
 of
 America

•  Australian
 and
 New
 Zealand
 Intensive
 Care

•  Indian
 Society
 of
 Cri<cal
 Care
 Medicine

Society

•  Japanese
 Associa<on
 for
 Acute
 Medicine

•  Asia
 Pacific
 Associa<on
 of
 Cri<cal
 Care

•  Japanese
 Society
 of
 Intensive
 Care
 Medicine

Medicine

•  American
 Thoracic
 Society
  •  La<n
 American
 Sepsis
 Ins<tute

•  Brazilian
 Society
 of
 Cri<cal
 Care(AIMB)
  •  Pan
 Arab
 Cri<cal
 Care
 Medicine
 Society

•  Canadian
 Cri<cal
 Care
 Society
  •  Pediatric
 Acute
 Lung
 Injury
 and
 Sepsis
 Inves<gators

•  Chinese
 Society
 of
 Cri<cal
 Care
 Medicine
  •  Society
 Academic
 Emergency
 Medicine

•  Chinese
 Society
 of
 Cri<cal

 Care
 Medicine
  •  Society
 of
 Cri<cal
 Care
 Medicine

of
 Chinese
 Medical
 Associa<on
  •  Society
 of
 Hospital
 Medicine

•  European
 Respiratory
 Society
  •  Surgical
 Infec<on
 Society

•  European
 Society
 of
 Clinical
 Microbiology
  •  World
 Federa<on
 of
 Cri<cal
 Care
 Nurses

and
 Infec<ous
 Diseases

•  World
 Federa<on
 of
 Socie<es
 of
 Intensive
 and

Cri<cal
 Care
 Medicine
Phase 1 Barcelona declaration
Phase 2 Evidence based guidelines
Phase 3 Implementation and Education
SSC Methodology:

International Multifaceted Intervention
•  National/regional/network “launch meetings”
–  Identify local champions
–  Introduce sepsis bundles
–  Staff support for coordinating sites
–  Regular conference calls
•  Educational tools
•  SSC manual
•  SSC slides
•  Website
–  SSC and IHI website
–  Sepsis list-serve
•  Interactive database
–  Automated uploading to SSC server
–  Technical support
–  Local audit and feedback capabilities
n= 15.022
Crit Care Med 2010; 38(2):367-374