Hi there. So far I have yet to see the need for transfusions in our population in order to achieve that target specifically for sepsis alone in the absence of blood loss or underlying anemia. We try to support tissue oxygenation in severe sepsis by addressing fluid status FIRST, and then look at availability (supplemental O2? NIPPV? Intubation?), O2 carrying capacity (Hct?) and also delivery (myocardial dysfunction/need for inotropic support). Transfusion is not typically the first line to address an ScVO2 of less than 70%. From my experience I have seen this target achieved with continuing fluid boluses, especially when the CVP is not at target.
Jessica Harkey, RN, BSN, CCRN Sepsis Program Coordinator San Joaquin Community Hospital 661-869-6874 [email protected]<mailto:[email protected]> [Description: wr] From: [email protected] [mailto:[email protected]] On Behalf Of Daniel Gerard Sent: Wednesday, October 02, 2013 1:01 PM To: [email protected] Subject: [Sepsis Groups] blood I'm having some difficulty understanding the role of transfusion with the new sepsis guidelines. Are people still using transfusions in patients with HCT less than 30 during the initial 6 hours to increase ScV02 ? Daniel Gerard RPh Critical Care Pharmacist McClaren-Northern Michigan Phone: 231-487-4770 FAX: 231-487-4817 [email protected]<mailto:[email protected]> Confidentiality Notice: This e-mail message, including any attachments, may contain confidential information. The information is intended only for the use of the individual(s) or entity named above. If you are not the intended recipient, you are notified that any disclosure, copying, distribution, or the taking of any action in reliance on the contents of this e-mail information is prohibited. If you have received this e-mail in error, please contact the sender by reply e-mail and destroy all copies of the original message.
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