We are in the initial stages of reviewing pro-calcitonin use for abx de-escalation. I am in need of more information. Is anyone else currently do this?
Jessica Wonderly, RN DSRIP Front Line Facilitator Hospital Staff Nurse II Kern Medical Center Phone: (661) 326-5637 Pager: (661) 307-1098 * * * * * * * * * CONFIDENTIALITY STATEMENT * * * * * * * * * This message is intended only for the use of the individual or entity to which it is addressed and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution or copying of the communication is strictly prohibited. If you received this communication in error, please notify us immediately by telephone and return the original message to us at the e-mail address above. Thank you. OWNED AND OPERATED BY THE COUNTY OF KERN 1830 Flower Street, Bakersfield California 93305-4197 (661) 326-2416 >>> <[email protected]> 10/29/2013 8:50 AM >>> Send Sepsisgroups mailing list submissions to [email protected] To subscribe or unsubscribe via the World Wide Web, visit http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org or, via email, send a message with subject or body 'help' to [email protected] You can reach the person managing the list at [email protected] When replying, please edit your Subject line so it is more specific than "Re: Contents of Sepsisgroups digest..." Today's Topics: 1. Re: Initial Fluid Bolus (Dellinger, Phil) 2. procalcitonin (Edwards, Jody L) ---------------------------------------------------------------------- Message: 1 Date: Mon, 28 Oct 2013 11:54:48 -0400 From: "Dellinger, Phil" <[email protected]> To: Hesham Hassaballa <[email protected]>, "[email protected]" <[email protected]> Subject: Re: [Sepsis Groups] Initial Fluid Bolus Message-ID: <c342909a34ff664b9d135fda934ed6f215de88b...@mail-ccr02.chsmail.root.cooperhealth.edu> Content-Type: text/plain; charset="utf-8" Probably the best thing to do. And definitely simpler than trying to figure out a more precise fluid load estimate. I addressed this issue with the primary investigators and research coordinators for the EUPHRATES trial(for which I am the PI for the international trial). We are looking at endotoxin removal with hemoperfusion in patients with septic shock identified to have high endotoxin activity. One of the entry criteria, which also includes a certain level of vasopressor support, is 30 ml/kg actual body weight of crystalloid(or colloid equivalent) fluid resuscitation. ?From a purist standpoint, fluid bolus in obese septic shock patients should be somewhat less per kg than in someone who is normal body habitus since the intravascular volume expands at a somewhat lower % as body weight increases in the obese patient. However no one has ever used, in septic shock research trials, formulas that are available but not well validated to adjust for blood volume in the obese patient..? From: [email protected] [mailto:[email protected]] On Behalf Of Hesham Hassaballa Sent: Friday, October 25, 2013 9:33 AM To: [email protected] Subject: [Sepsis Groups] Initial Fluid Bolus I'm using actual body weight, and it works out very well. I think if we use ideal body weight, it will under resuscitate the patient. Hesham A. Hassaballa, MD Program Medical Director Critical Care Rush-Copley Medical Center 2000 Ogden Avenue Aurora, IL 60504 Phone: (331) 454-6572 ### CONFIDENTIALITY NOTICE ### This message and any included attachments are from Cogent HMG and are intended only for the addressee. The contents in this message contain confidential information belonging to the sender that is legally protected. Unauthorized forwarding, printing, copying, distribution, or use of such information is strictly prohibited and may be unlawful. If you are not the addressee, please promptly delete this message and notify the sender of the delivery error by e-mail or contact the Cogent HMG Privacy Officer at [email protected]<mailto:[email protected]>. ### CONFIDENTIALITY NOTICE ### This message and any included attachments are from Cogent HMG and are intended only for the addressee. The contents in this message contain confidential information belonging to the sender that is legally protected. 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URL: <http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20131028/bf8ecb00/attachment.htm> ------------------------------ Message: 2 Date: Tue, 29 Oct 2013 13:07:02 +0000 From: "Edwards, Jody L" <[email protected]> To: "[email protected]" <[email protected]> Subject: [Sepsis Groups] procalcitonin Message-ID: <e17c5e750b254f96906b96ff122aa...@blupr08mb069.namprd08.prod.outlook.com> Content-Type: text/plain; charset="us-ascii" Our physician group is looking at procalcitonin levels vs lactic acid levels as which one is a more accurate biomarker for severe sepsis and septic shock. Has anyone completed a study regarding this issue. Any comments would be greatly appreciated. Thank you, Jody Jody Edwards MSN, RN Sepsis PI Coordinator Springfield Regional Medical Center 100 Medical Dr. 45504 937-523-5268 [email protected] "Education will never be as expensive as ignorance"-Anonymous "Confidential - Quality Improvement Information" "CONFIDENTIALITY NOTICE: This message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. Privileged and Confidential Quality/Peer Review Document Pursuant to Ohio Revised Code 2305.24, 2305.25., 2305.251, 2305.252, and 2305.253." CONFIDENTIALITY NOTICE: This message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. 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