0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Comment & Response |

Definitions for Sepsis and Septic Shock

Shivinder Singh, MD1; Sanil Mohan, MD1; Ravi Singhal, MD1
[+] Author Affiliations
1Department of Anesthesiology and Critical Care, Command Hospital Western Command Chandimandir, Panchkula, Haryana, India
JAMA. 2016;316(4):458. doi:10.1001/jama.2016.6368.
Text Size: A A A
Published online

Extract

To the Editor The Sepsis-3 definition of sepsis1 includes the SOFA score.2 The SOFA scoring system has stood the test of time as a simple, readily reproducible scoring system to monitor the progress of sepsis patients, and its place in clinical evaluation is undisputed.

The Surviving Sepsis Campaign guidelines3 recommend norepinephrine as the first-choice vasopressor to maintain mean arterial pressure 65 mm Hg or higher, with epinephrine used when an additional agent is needed to maintain adequate blood pressure. Dopamine is not recommended except in selected circumstances. Dobutamine infusion can be administered or added to other vasopressors in the presence of myocardial dysfunction or ongoing signs of hypoperfusion despite achieving adequate intravascular volume and mean arterial pressure. The vasopressor of first choice in septic shock is norepinephrine followed by epinephrine.

Topics

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

July 26, 2016
Clifford S. Deutschman, MD, MS; Mervyn Singer, MD, FRCP
1Center for Pediatric Research, Steven and Alexandra Cohen Children's Medical Center, New Hyde Park, New York
2Bloomsburg Institute of Intensive Care Medicine, University College London, London, United Kingdom
JAMA. 2016;316(4):458-459. doi:10.1001/jama.2016.6389.
CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

614 Views
0 Citations
×

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Jobs
brightcove.createExperiences();