I am reaching out to anyone with scientific data of the use of procalcitonin as a screening tool. I am finding that the latest guidelines from the SCCM does not recommend the use of procalcitonin as a screening tool but as a biomarker to assist the clinician in the discontinuation of empiric antibiotic therapy in patients who appeared septic. Would like to hear comments from others. Thank-you.
Jeanie Bollinger MSN,RN,ACCNS-AG, CCRN Sepsis Clinical Nurse Specialist Nursing Department of Excellence Mission Health Asheville, NC Phone: 828-213-5878 Beeper: 828-207-2363 -----Original Message----- From: Sepsisgroups [mailto:[email protected]] On Behalf Of [email protected] Sent: Monday, March 02, 2015 3:07 PM To: [email protected] Subject: Sepsisgroups Digest, Vol 146, Issue 1 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. Sepsis screening in a maternity population (Riley, Bonnie S.) 2. Re: Sepsis in obstetrical patients (Dr.Sunil T Pandya) ---------------------------------------------------------------------- Message: 1 Date: Fri, 27 Feb 2015 20:38:20 +0000 From: "Riley, Bonnie S." <[email protected]> To: "[email protected]" <[email protected]> Subject: [Sepsis Groups] Sepsis screening in a maternity population Message-ID: <[email protected]> Content-Type: text/plain; charset="utf-8" I am reaching out to anyone who is working on a sepsis protocol for a maternity population. We use the SSC bundles for all our patients except the women's health population. Bonnie Riley MSN, RNC, CPHQ Performance Improvement Coordinator Medical Staff Services M2843 Houston Methodist Sugar Land Hospital Office: 281-274-7869 Fax: 281-274-8028 Houston Methodist. Leading Medicine. Houston Methodist is ranked by U.S.News & World Report as one of America's "Best Hospitals" in 11 specialties and designated as a Magnet hospital for excellence in nursing. Houston Methodist has also been named to FORTUNE? Magazine's "100 Best Companies to Work For?" list for nine years in a row. Visit us at houstonmethodist.org. Follow us at twitter.com/MethodistHosp and facebook.com/HoustonMethodist. ***CONFIDENTIALITY NOTICE*** This e-mail is the property of Houston Methodist and/or its relevant affiliates and may contain restricted and privileged material for the sole use of the intended recipient(s). Any review, use, distribution or disclosure by others is strictly prohibited. If you are not the intended recipient (or authorized to receive for the recipient), please contact the sender and delete all copies of the message. Thank you. -------------- next part -------------- An HTML attachment was scrubbed... URL: <http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20150227/2630e79d/attachment.html> ------------------------------ Message: 2 Date: Sat, 28 Feb 2015 02:43:36 +0530 From: "Dr.Sunil T Pandya" <[email protected]> To: "Riley, Bonnie S." <[email protected]> Cc: "[email protected]" <[email protected]> Subject: Re: [Sepsis Groups] Sepsis in obstetrical patients Message-ID: <CAJ5VsPR7JmV+pLsm_yvkka_F+MNU0gVp3e_=REoBQEDK=gx...@mail.gmail.com> Content-Type: text/plain; charset="utf-8" Yes, we do have implemented the same protocol if pregnant women...with early CVP, arterial and Ultrasound guided fluid resuscitation. Well, what we have additionally found and incorporated in our protocol are as follows: 1. Atonic PPH management under these settings...quite common (Uterotonics...oxytocin can exaggerate hypotension, B-Lynch procedure etc) 2. CUlture placental bed tissue 3. Send immediately neonatal cultures...even if the new born appears normal! 4. Anticipate and prevent hypotension if LSCS is done under regional anaesthesia....they have exaggerated hypotension...in fact, we have diagnosed occult sepsis in retrospect by this exaggerated hypotensive response work-up! 5. Early ScVO2 measurements and lactate clearance are good markers for improvements. Total leukocyte counts are invariably elevated and are unreliable marker during peripartum period. 6. Beware of occult sepsis creeping in parturients with HELLP, AFLP and Thrombotic micro-angiopaties! High vigil is warranted. Best wishes, Sunil *------------* *Dr.Sunil T Pandya* *Medical Director* *Director, Anaesthesia, Pain and Surgical Intensive Care,* *Century Hospital, Hyderabad, India (www.centuryhospital.in <http://www.centuryhospital.in>)* *Organizing Secretary, 8th Annual Conference of AOA India and 1st World Obstetric Anaesthesia **Congress, Hyderabad, 2015.* *Hon. Secretary, Association of Obstetric Anaesthesiologists, India (www.aoaindia.com <http://www.aoaindia.com>)* *Hon. Secretary, Society of Obstetric Medicine, India* *EC member, Obstetric Anaesthesia Society Asia Oceania (OASAO)* *EC member, Academy of Regional Anaesthesia, India (www.aoraindia.com <http://www.aoraindia.com>)* *Programme director, Post doctoral fellowship in Anaesthesia for High risk Obstetrics,* *Head, **Dept. of Anaesthesia, Obstetric Critical care and Pain medicine,* *Fernandez Hospital (Health care for Women and the Newborn), **www.fernandezhospital.com <http://www.fernandezhospital.com>* *Director, Prerna Anaesthesia and Critical Care Services Pvt Ltd (www.prernaanaesthesia.com <http://www.prernaanaesthesia.com>)* *Hyderabad, India.* On Mon, Feb 23, 2015 at 11:02 PM, Riley, Bonnie S. < [email protected]> wrote: > Hello, > > > > Is anyone here using any version of the Surviving Sepsis Campaign in > an obstetrical population? > > > > If so, would you share your experience? I work Risk Management. My > background is both ICU and L&D. I see a need for the protocol, and so > does one of the physicians. We are researching successful strategies > for implementation. > > > > Thanks > > > > Bonnie Riley MSN, RNC, CPHQ > > Performance Improvement Coordinator > > Medical Staff Services M2843 > > Houston Methodist Sugar Land Hospital > > Office: 281-274-7869 > > Fax: 281-274-8028 > > > > Houston Methodist. Leading Medicine. > > Houston Methodist is ranked by *U.S.News & World Report* as one of > America's "Best Hospitals" in 11 specialties and designated as a > Magnet hospital for excellence in nursing. Houston Methodist has also > been named to *FORTUNE? * Magazine's "100 Best Companies to Work For?" > list for nine years in a row. Visit us at houstonmethodist.org. Follow > us at twitter.com/MethodistHosp and facebook.com/HoustonMethodist. > > ***CONFIDENTIALITY NOTICE*** This e-mail is the property of Houston > Methodist and/or its relevant affiliates and may contain restricted > and privileged material for the sole use of the intended recipient(s). > Any review, use, distribution or disclosure by others is strictly prohibited. > If you are not the intended recipient (or authorized to receive for > the recipient), please contact the sender and delete all copies of the > message. > Thank you. > > _______________________________________________ > Sepsisgroups mailing list > [email protected] > http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.o > rg > > -------------- next part -------------- An HTML attachment was scrubbed... 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