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Leitliniengerechte Kreislauf- und Nierenersatztherapie bei schwerer Sepsis und septischem Schock

Guidelines for hemodynamic and renal failure in patients with severe sepsis and septic shock

  • Evidenzbasierte Medizin
  • Published:
Zeitschrift für Herz-,Thorax- und Gefäßchirurgie Aims and scope

Zusammenfassung

Die erste Revision der S2k-Leitlinie der Deutschen Sepsis-Gesellschaft in Kooperation mit 17 weiteren wissenschaftlichen medizinischen Fachgesellschaften und einer Selbsthilfegruppe gibt den Stand des Wissens über eine effektive und angemessene Krankenversorgung von Patienten mit schwerer Sepsis und septischem Schock wieder. In Anbetracht der unausbleiblichen Fortschritte wissenschaftlicher Erkenntnisse und der Technik müssen periodische Überarbeitungen, Erneuerungen und Korrekturen unternommen werden. Die Empfehlungen der Leitlinien können nicht unter allen Umständen angemessen genutzt werden. Die Entscheidung darüber, ob einer bestimmten Empfehlung gefolgt werden soll, muss vom Arzt unter Berücksichtigung der beim individuellen Patienten vorliegenden Gegebenheiten und der verfügbaren Ressourcen getroffen werden.

Abstract

The first revision of the S2k guidelines of the German Sepsis Society in collaboration with 17 medical scientific professional societies and one self-help group provides state-of-the-art information on the effective and appropriate medical care (monitoring, volume resuscitation, vasoactive support, renal replacement therapy) of patients with severe sepsis or septic shock. In view of the inevitable advancements in scientific knowledge and technical expertise, revisions, updates and amendments must be periodically initiated. The guideline recommendations may not be applied under all circumstances. It rests with the clinician to decide whether a certain recommendation should be adopted or not, taking into consideration the unique set of clinical facts presented in connection with each individual patient as well as the available resources.

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Authors and Affiliations

  1. Paul-Martini-Forschergruppe f. klinische Sepsisforschung, Klinik für Anästhesiologie und Intensivtherapie, Universitätsklinikum, Friedrich-Schiller-Universität Jena, Erlanger Allee 101, 07747, Jena, Deutschland

    F.M. Brunkhorst & K. Reinhart

  2. Klinik für Nephrologie und Internistische Intensivmedizin, Charité – Universitätsmedizin Berlin, Berlin, Deutschland

    M. Oppert

  3. Medizinische Klinik 4, Universität Erlangen-Nürnberg, Erlangen, Deutschland

    S. John

  4. Klinik für Thorax- und kardiovaskuläre Chirurgie, Universitätsklinikum Essen, Essen, Deutschland

    G. Marggraf

Authors
  1. F.M. Brunkhorst
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  2. K. Reinhart
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  3. M. Oppert
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  4. S. John
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  5. G. Marggraf
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Consortia

für das Leitlinienkomittee der Deutschen Sepsis-Gesellschaft e.V. (DSG) und der Deutschen Interdisziplinären Vereinigung für Intensiv- und Notfallmedizin (DIVI)

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Correspondence to F.M. Brunkhorst.

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Brunkhorst, F., Reinhart, K., Oppert, M. et al. Leitliniengerechte Kreislauf- und Nierenersatztherapie bei schwerer Sepsis und septischem Schock. Z Herz- Thorax- Gefäßchir 24, 224–231 (2010). https://doi.org/10.1007/s00398-010-0793-y

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  • DOI: https://doi.org/10.1007/s00398-010-0793-y

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