Sepsis Induced Cardiomyopathy: A forgotten factor in Septic Shock (One-Minute Journal Club)
It is my personal opinion that sepsis-induced cardiomyopathy has been under recognized and understudied. Our current practice pattern of starting patients on norepinephrine is good. But automatically going to vasopressin, then either phenylephrine or epinephrine as they continue to deteriorate overlooks the fact that they may have sepsis-induced cardiomyopathy. Going down the typical route we could be generating too much SVR (systemic vascular resistance) at the expense of an already low cardiac output. But what is the prevalence of sepsis-induced cardiomyopathy anyway? This is what these authors sought out. Hat tip to them. Read these data for yourself.
They performed a systematic review and meta-analysis. The prevalence of SICM was 20%. One in five patients could potentially be mismanaged if not recognized. It was no surprise that these patients had a poor prognosis and higher mortality. This is something we really need to think about more often in septic patients. Do you regularly assess the cardiac function of septic patients?
Show Notes: https://eddyjoemd.com/sepsis-induced-cardiomyopathy/
I edited this video using Descript: https://www.descript.com?lmref=BGOxjQ
Citation: Hasegawa D, Ishisaka Y, Maeda T, Prasitlumkum N, Nishida K, Dugar S, Sato R. Prevalence and Prognosis of Sepsis-Induced Cardiomyopathy: A Systematic Review and Meta-Analysis. J Intensive Care Med. 2023 Jun 4:8850666231180526. doi: 10.1177/08850666231180526. Epub ahead of print. PMID: 37272081.
Видео Sepsis Induced Cardiomyopathy: A forgotten factor in Septic Shock (One-Minute Journal Club) канала eddyjoemd
They performed a systematic review and meta-analysis. The prevalence of SICM was 20%. One in five patients could potentially be mismanaged if not recognized. It was no surprise that these patients had a poor prognosis and higher mortality. This is something we really need to think about more often in septic patients. Do you regularly assess the cardiac function of septic patients?
Show Notes: https://eddyjoemd.com/sepsis-induced-cardiomyopathy/
I edited this video using Descript: https://www.descript.com?lmref=BGOxjQ
Citation: Hasegawa D, Ishisaka Y, Maeda T, Prasitlumkum N, Nishida K, Dugar S, Sato R. Prevalence and Prognosis of Sepsis-Induced Cardiomyopathy: A Systematic Review and Meta-Analysis. J Intensive Care Med. 2023 Jun 4:8850666231180526. doi: 10.1177/08850666231180526. Epub ahead of print. PMID: 37272081.
Видео Sepsis Induced Cardiomyopathy: A forgotten factor in Septic Shock (One-Minute Journal Club) канала eddyjoemd
Показать
Комментарии отсутствуют
Информация о видео
Другие видео канала
![PEEP Test for Fluid/Volume Responsiveness in Resuscitation](https://i.ytimg.com/vi/cH8r0TPg-Go/default.jpg)
![ScvO2 for Fluid Responsiveness (One-Minute Journal Club)](https://i.ytimg.com/vi/qpS7ugPkhcY/default.jpg)
![Stroke Volume Variation in Under One Minute](https://i.ytimg.com/vi/QaTD_1nY8gY/default.jpg)
![MAP (Mean Arterial Pressure) Goal/Target After Cardiac Arrest (One-Minute Journal Club)](https://i.ytimg.com/vi/wfRCJXt-NU0/default.jpg)
![Soda/Soft Drink consumption and how it may affect life expectancy](https://i.ytimg.com/vi/n6PgaWGAf_Q/default.jpg)
![COVID & Intubation: Getting the Timing Right (Journal Club-ish). Saving Lives Podcast](https://i.ytimg.com/vi/kZZZcxQNCXs/default.jpg)
![Prone Your Non-Intubated COVID Patients! (Journal Club-ish, Saving Lives Podcast)](https://i.ytimg.com/vi/Ec8jpZiityw/default.jpg)
![Delirium in Mechanically Ventilated Patients: Let the Natural Light in! (Journal Club-ish)](https://i.ytimg.com/vi/cS50MK1vJWc/default.jpg)
![Tidal Volume for Patients on Mechanical Ventilation: How Much Does My Patient need? (PReVENT Trial)](https://i.ytimg.com/vi/-tl47JfhoSk/default.jpg)
![Fluvoxamine: A Potential Outpatient Treatment for COVID (Saving Lives Podcast)](https://i.ytimg.com/vi/RTcXZ6bfxmc/default.jpg)
![Aortic Pulsatility Index (API): Optimizing Cardiogenic Shock Management](https://i.ytimg.com/vi/OL7kWR8v7ZI/default.jpg)
![Change Severe Community Acquired Pneumonia (CAP) Management: Add Hydrocortisone](https://i.ytimg.com/vi/lwNnshmUPdc/default.jpg)
![Nurse Familiarity: Working with Buddies Safely Saves Lives (One-Minute Journal Club)](https://i.ytimg.com/vi/4-6C9SGFJ2A/default.jpg)
![Cordis vs. MAC Introducer: What's the Difference in One Minute](https://i.ytimg.com/vi/eaOqVL12xHU/default.jpg)
![Goodbye, 2022. Hello, 2023!](https://i.ytimg.com/vi/v0X0nB8WH8s/default.jpg)
![End-Expiratory Occlusion to Determine Fluid/Volume Responsiveness](https://i.ytimg.com/vi/GAzuG8wQENY/default.jpg)
![IV Fluid Overload: Don't Drown your Patients! (One-Minute Journal Club)](https://i.ytimg.com/vi/Y3VzL4jnS_M/default.jpg)
![Hypothermia for COVID-19 ICU Patients? (Journal Club-ish, Saving Lives Podcast)](https://i.ytimg.com/vi/hjr1e4RjUXc/default.jpg)
![Dopamine is NOT a First-Line Vasopressor in Shock (including Cardiogenic): One-Minute Journal Club](https://i.ytimg.com/vi/qZfI-om1qlk/default.jpg)
![Plasma-Lyte (Plasmalyte) in One Minute](https://i.ytimg.com/vi/P9P9url2PdE/default.jpg)
![Colchicine for COVID-19: Appraising the COLCORONA Trial (Journal Club-ish)](https://i.ytimg.com/vi/Ho8dI5QHNEI/default.jpg)