A Case Study of Septic Shock Management in Mahasarakham Hospital
Keywords:
Surviving Sepsis Campaign, Mahasarakham hopitalAbstract
Because of the high mortality rate, sepsis and septic shock are an important issue. At present, the evidence based patient care process, called Surviving Sepsis Campaign, is widely used for septic patients, including Mahasarakham hospital. This case study is Thai, 66-years-old male patient presented with high grade fever, chills and dysuria. He had pain on both flanks and had history of right kidney stone, treated by surgery in 2012. After the patient was physical examined, septic shock was diagnosed and treated by Mahasarakham’s sepsis protocol. The treatment goals (early goal directed therapy), central venous pressure 8-12 mmHg, mean arterial pressure (MAP) ≥ 65 mmHg, urine output ≥ 0.5 ml/kg/hr and the central venous oxygen saturation (ScvO2) ≥ 70%, were achieved within 6 hours. Patient was improved without severe complications and had early hospital discharge. Therefore the application of septic care process according to Surviving Sepsis Campaign will benefit for patients with quality and efficiency.
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