Shock, septic: Difference between revisions

Line 12:

== Additional Info ==

*Even though ICD-10 has not yet been modified to reflect it, WE are using the 2016 consensus definition of sepsis and septic shock (JAMA 315(8):801-10, 2016). These new definitions completely do away with talking about the Systemic Inflammatory Response Syndrome (SIRS).

*Even though as of November 2017 ICD-10 has not yet been modified to reflect it, we are using the 2016 consensus definition of sepsis and septic shock (JAMA 315(8):801-10, 2016). These new definitions completely do away with talking about the Systemic Inflammatory Response Syndrome (SIRS). In the 2016 definitions we have just 2 subcategories:

*In the 2016 definitions we have just 2 subcategories:

**Sepsis is life-threatening organ dysfunction caused by a dysregulated host response to infection -- NOTE this was the 2001 definition of "severe sepsis"

*Sepsis is life-threatening organ dysfunction caused by a dysregulated host response to infection -- NOTE this was the 2001 definition of "severe sepsis"

**Septic shock is a subset of sepsis in which profound circulatory, cellular and metabolic abnormalities are associated with a greater risk of mortality than with sepsis alone

*Septic shock is a subset of sepsis in which profound circulatory, cellular and metabolic abnormalities are associated with a greater risk of mortality than with sepsis alone

*'''CRITERIA for the SHOCK in Septic Shock''': persisting hypotension requiring vasopressors to maintain MAP>65mmHg ''AND'' serum lactate>2 mmol/L -- both despite adequate volume resuscitation.

**'''CRITERIA ~~FOR THE THE~~ SHOCK IN Septic Shock''': persisting hypotension requiring vasopressors to maintain MAP>65mmHg AND serum lactate>2 mmol/L -- both despite adequate volume resuscitation.

*Septic shock is shock for which the CAUSE is proven (or presumed) infection.

**So, for example, if someone has another obvious cause of shock (e.g. massive hemorrhage) and ''also'' has infection, that does not mean it is combined hemorrhagic and septic shock. Basically, septic shock '''should not be called''' if there '''is another obvious cause for shock'''.

@@ Line 12: / Line 12: @@
 {{ICD10 category|Respiratory}}
 == Additional Info ==
-*Even though ICD-10 has not yet been modified to reflect it, WE are using the 2016 consensus definition of sepsis and septic shock (JAMA 315(8):801-10, 2016).  These new definitions completely do away with talking about the Systemic Inflammatory Response Syndrome (SIRS).
+*Even though as of November 2017 ICD-10 has not yet been modified to reflect it, we are using the 2016 consensus definition of sepsis and septic shock (JAMA 315(8):801-10, 2016).  These new definitions completely do away with talking about the Systemic Inflammatory Response Syndrome (SIRS). In the 2016 definitions we have just 2 subcategories:
-*In the 2016 definitions we have just 2 subcategories:
+**Sepsis is life-threatening organ dysfunction caused by a dysregulated host response to infection -- NOTE this was the 2001 definition of "severe sepsis"
-*Sepsis is life-threatening organ dysfunction caused by a dysregulated host response to infection -- NOTE this was the 2001 definition of "severe sepsis"
+**Septic shock is a subset of sepsis in which profound circulatory, cellular and metabolic abnormalities are associated with a greater risk of mortality than with sepsis alone
-*Septic shock is a subset of sepsis in which profound circulatory, cellular and metabolic abnormalities are associated with a greater risk of mortality than with sepsis alone
+*'''CRITERIA for the SHOCK in Septic Shock''':  persisting hypotension requiring vasopressors to maintain MAP>65mmHg ''AND'' serum lactate>2 mmol/L -- both despite adequate volume resuscitation.
-**'''CRITERIA FOR THE THE SHOCK IN Septic Shock''':  persisting hypotension requiring vasopressors to maintain MAP>65mmHg AND serum lactate>2 mmol/L -- both despite adequate volume resuscitation.
 *Septic shock is shock for which the CAUSE is proven (or presumed) infection.
 **So, for example, if someone has another obvious cause of shock (e.g. massive hemorrhage) and ''also'' has infection, that does not mean it is combined hemorrhagic and septic shock. Basically, septic shock '''should not be called''' if there '''is another obvious cause for shock'''.