• W
    • Fokussuche: Lunge, Urogenital, Cardiac, CNS, Abdomen, Arthritis, Spine, Skin, Sonstiges
  • DD Sepsis Mimics
    • ! Anaphylaxie (im Zweifel beides anbehandeln)
    • ! Kardiogener Schock (RUSH/TTE)
    • Infektiös: Infekt ohne MOV, PJP, Aspergillose, Candidose
    • Endokrin: DKA, Thyreotoxikose, Addison-Krise
    • GI: Mesenterialischämie, Ileus, Pankreatitis, Leberversagen
    • Sonst.: HLH

Patients with septic shock can have any of the following patterns hemodynamics (which we will explore in more detail): 1. Distributive shock with high cardiac output and low filling pressures (‘warm’) 2. Distributive shock with low cardiac output and low filling pressures (‘cold’ or sometimes referred to as ‘hypovolemic’ à not a volume issue but rather a low filling pressure) 3. Distributive shock with high cardiac output and HIGH filling pressures (‘high output failure’) 4. RV failure (high or low CO) 5. LV failure (high or low CO) 6. Biventricular failure (high or low CO) 7. Pericardial Effusions 8. Venous Congestion (this can be layered on to any of the phenotypes with higher filling pressures)

  • PCT-Guided ABx Dauer ist sicher in Sepsis1
  • Neue S3 LL2
  • Früh Albumin kein Benefit3

Footnotes

  1. Dark. JAMA 2024. Biomarker-Guided Antibiotic Duration for Hospitalized Patients With Suspected Sepsis: The ADAPT-Sepsis Randomized Clinical Trial

  2. S3-Leitlinie Sepsis

  3. ICARUS ED Trial: Concentrated Albumin for Undifferentiated Sepsis in the Emergency Department