• Nursing in critical care · Nov 2004

    Review

    Sepsis strategies: an ICU package?

    • Alison J Ruffell.
    • ITU, Colchester General Hospital, Colchester. Alison.Ruffell@essexrivers.nhs.uk
    • Nurs Crit Care. 2004 Nov 1;9(6):257-63.

    Abstract--Mortality of patients with severe sepsis remains at unacceptable levels and recent new strategies are not being widely embraced. --Five strategies are discussed within this article [low tidal volumes in acute lung injury/acute respiratory distress syndrome, early goal-directed therapy, drotrecogin alfa (activated), moderate dose corticosteroids and tight control of blood glucose]. --The critical care nurse plays a leading role in the detection, monitoring and treatment of patients with severe sepsis. --The role of the critical care nurse within the multidisciplinary team is explored. --Education, combination of strategies and the use of protocols are discussed.

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