Thanks. This is interesting actually as we had a patient
just yesterday admitted to MAU with severe bilateral CAP
who then developed new AV with RVR around 170. Not
compromised so opted for digoxin and she then began to
improve (fever and RR down), but anyone got any other tips
in this setting? Beta-blockers totally out?
Tom Morris
Infectious Diseases Registrar, East Midlands Deanery (UK)
On Fri, 28 Dec 2012 09:04:10 -0500
"Schorr, Christa" <[email protected]>
wrote:
After recognizing long lengths of stay and higher
mortality in several patients with new onset afib and
sepsis, we decided to look into this group a bit further.
We completeted a retrospective analysis of 274 septic
patients with afib. Conclusion: a statistically
significantly higher mortality was observed in critically
ill septic patients with new-onset AF, as were longer
duration of mechanical ventilation, ICU, and hospital
LOS. Whether the higher incidence of AF in septic
patients is a specific risk factor for outcome or an
indication of severity of illness remains to be
determined
Clinical characteristics and outcomes of septic patients
with new-onset atrial
fibrillation.<http://www.ncbi.nlm.nih.gov/pubmed/19056018>
Christian SA, Schorr C, Ferchau L, Jarbrink ME, Parrillo
JE, Gerber DR.
J Crit Care. 2008 Dec;23(4):532-6. doi:
10.1016/j.jcrc.2007.09.005.
Christa
________________________________
From: Dellinger, Phil
Sent: Friday, December 28, 2012 8:20 AM
To: [email protected];
[email protected];
[email protected]
Cc: Schorr, Christa
Subject: RE: Tachycardia and Atrial Fibrillation
As I recall Christa Schorr and some of our docs
published something on AFib and sepsis. Christa?
From: [email protected]
[mailto:[email protected]] On
Behalf Of [email protected]
Sent: Thursday, December 27, 2012 8:03 AM
To: [email protected];
[email protected]
Subject: Re: [Sepsis Groups] Tachycardia and Atrial
Fibrillation
It might be a problem as a screening criteria especially
if you have a robust cardiac population; however, new
onset AF is seen among Septic patients as I have found in
our data set. I do recall reading about AF in Sepsis in
a published paper but can't recall the author. There is
published data out there on this topic.
From:
[email protected]<mailto:[email protected]>
[mailto:[email protected]] On
Behalf Of Ash, Samantha
Sent: Wednesday, December 26, 2012 2:48 PM
To:
[email protected]<mailto:[email protected]>
Subject: [Sepsis Groups] Tachycardia and Atrial
Fibrillation
One of our Intensivist was asking about including Atrial
Fibrillation with a RVR as one of the SIRS Symptoms. He
felt this may give some false positive for meeting two
SIRS criteria for sepsis. Have you found this a problem?
Samantha Ash RN, BSN, MSN
Director of Critical Care Services
[cid:[email protected]]
2900 First Avenue, Huntington, WV 25702
Telephone: 304-526-8249
Email: [email protected]<mailto:[email protected]>
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