Zusammenfassung
Samstag. Es war ein schöner Tag. Bert Hedonis war trotzdem angespannt. Schließlich heiratete heute seine Tochter Helena. Wochenlang hatte er über den Text seiner Rede gegrübelt bis er zufrieden gewesen war. Nicht zu ernst, stilvolle Scherze und vor allem beachten, dass die Braut kein kleines Kind mehr war. „Na, aufgeregt? Dein Kopf ist ganz rot!“ Aber bevor Bert Hedonis seiner Frau antworten konnte, verspürte er einen unglaublichen Schlag zwischen den Schulterblättern und der Boden öffnete sich. In diesem Kapitel geht es um Aortendissektion, Sepsis, qSOFA, Schock, Septic Shock Bundle, Laktatstoffwechsel, Methylenblau, Fixierungsfehler sowie FORDEC.
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Literatur
Adams HA, Baumann G, Cascorbi I et al (2005) Zur Diagnostik und Therapie der Schockformen Empfehlungen der Interdisziplinären Arbeitsgruppe Schock der DIVI. Teil V – Septischer Schock. Anästh Intensivmed 46:285–295
Angus DC, Barnato AE, Bell D et al (2015) A systematic review and meta-analysis of early goal-directed therapy for septic shock: the ARISE, ProCESS and ProMISe investigators. Intensive Care Med 41:1549–1560. https://doi.org/10.1186/s13054-015-0803-2
Coppola S, Froio S, Chiumello D (2015) β-blockers in critically ill patients: from physiology to clinical evidence. Crit Care 19:119
Dellinger RP, Levy MM, Rhodes A et al (2013) Surviving sepsis campaign: international guidelines for management of severe sepsis and septic shock: 2012. Crit Care Med 41:580–637. https://doi.org/10.1097/CCM.0b013e31827e83af
Freund Y, Lamachatti N, Krastinova E et al (2017) Prognostic accuracy of Sepsis-3 criteria for in-hospital mortality among patients with suspected infection presenting to the emergency department. JAMA 317:301–308. https://doi.org/10.1001/jama.2016.20329
Jang DH, Nelson LS, Hoffman RS (2013) Methylene blue for distributive shock: a potential new use of an old antidote. J Med Toxicol 9:242–249. https://doi.org/10.1007/s13181-013-0298-7
Krüger T, Conzelmann LO, Bonser RS et al (2012) Acute aortic dissection type A. Br J Surg 99:1331–1344. https://doi.org/10.1002/bjs.8840
Luebke T, Brunkwall J (2014) Type B aortic dissection. A review of prognostic factors and meta-analysis of treatment options. Aorta 6:265–278
Marik P, Bellomo R (2016) A rational approach to fluid therapy in sepsis. Brit J Anaesth 116:339–349. https://doi.org/10.1093/bja/aev349
Mouncey PR, Osborn TM, Power GS et al (2015) Trial of early, goal-directed resuscitation for septic shock. N Engl J Med 372:1301–1311. https://doi.org/10.1056/NEJMoa1500896
Prkno A, Wacker C, Brunkhorst FM, Schlattmann P (2013) Procalcitonin-guided therapy in intensive care unit patients with severe sepsis and septic shock – a systematic review and meta-analysis. Crit Care 17:R291. https://doi.org/10.1186/cc13157
Rivers E, Nguyen B, Havstad S et al (2001) Early goal-directed therapy in the treatment of severe sepsis and septic shock. N Engl J Med 345:1368–1377. https://doi.org/10.1056/NEJMoa01030
Singer M, Deutschman CS, Seymour CW et al (2016) The third international consensus definitions for sepsis and septic shock (Sepsis-3). JAMA 315:801–810. https://doi.org/10.1001/jama.2016.0287
The Prism Investigators (2017) Early, goal-directed therapy for septic shock – a patient-level meta-analysis. N Engl J Med 376:2223–2234. https://doi.org/10.1056/NEJMoa1701380
Vincent JL, de Mendonça A, Cantraine F et al (1998) Use of the SOFA score to assess the incidence of organ dysfunction/failure in intensive care units: results of a multicenter, prospective study. Working group on „sepsis-related problems“ of the European Society of Intensive Care Medicine. Crit Care Med 26:1793–1800. https://doi.org/10.1097/00003246-199811000-00016
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Klaus, I., Hübler, M. (2019). Fall 15 – Akuter Rückenschmerz. In: Hübler, M. (eds) Komplikationen in der Intensivmedizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-58308-1_15
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