Der Anaesthesist
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Review
[Surviving Sepsis Campaign update 2018: the 1 h bundle : Background to the new recommendations].
A new update of the sepsis bundle was published by the Surviving Sepsis Campaign (SSC) in April 2018. The original 3 h and 6 h bundles have been restructured and combined into a 1‑h bundle. The recommendations comprehensively focus on diagnostic and therapeutic measures which should be carried out within 1 h after recognition of sepsis. This article presents the background and discusses criticisms of the new recommendations.
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Acute kidney injury (AKI) is a frequent complication in the perioperative period and is associated with a high morbidity and mortality. AKI is an independent risk factor for adverse outcome. The Kidney Disease: Improving Global Outcome (KDIGO) guidelines define AKI based on increases in serum creatinine and/or urinary output. Since there is no causal therapy available, early detection and timely implementation of preventive measures are of particular importance. ⋯ For timely diagnosis and prevention of AKI the recommendations for action of the KDIGO guidelines should be implemented. High-risk patients should be detected early in the perioperative period in order to be able to initiate preemptive strategies in a timely manner.