Implications of the new international sepsis guidelines for nursing care

Am J Crit Care. 2013 May;22(3):212-22. doi: 10.4037/ajcc2013158.

Abstract

Sepsis is a serious worldwide health care condition that is associated with high mortality rates, despite improvements in the ability to manage infection. New guidelines for the management of sepsis were recently released that advocate for implementation of care based on evidence-based practice for both adult and pediatric patients. Critical care nurses are directly involved in the assessment of patients at risk for developing sepsis and in the treatment of patients with sepsis and can, therefore, affect outcomes for critically ill patients. Nurses' knowledge of the recommendations in the new guidelines can help to ensure that patients with sepsis receive therapies that are based on the latest scientific evidence. This article presents an overview of new evidence-based recommendations for the treatment of adult patients with sepsis, highlighting the role of critical care nurses.

MeSH terms

  • Adult
  • Anti-Bacterial Agents / therapeutic use*
  • Blood / microbiology
  • Central Venous Pressure / physiology
  • Evidence-Based Nursing*
  • Fluid Therapy / nursing
  • Fluid Therapy / standards
  • Humans
  • Hypotension / drug therapy
  • Hypotension / etiology
  • Infection Control / methods
  • Infection Control / standards*
  • Lactic Acid / blood
  • Life Support Care / standards
  • Nutrition Therapy / nursing
  • Nutrition Therapy / standards
  • Oxygen Consumption / physiology
  • Practice Guidelines as Topic*
  • Pressure Ulcer / nursing
  • Pressure Ulcer / prevention & control
  • Professional-Family Relations
  • Respiration, Artificial / nursing
  • Respiration, Artificial / standards
  • Respiratory Distress Syndrome / etiology
  • Respiratory Distress Syndrome / nursing
  • Sepsis / complications
  • Sepsis / microbiology
  • Sepsis / nursing*
  • Venous Thrombosis / nursing
  • Venous Thrombosis / prevention & control

Substances

  • Anti-Bacterial Agents
  • Lactic Acid