Management of Septic Shock in ICU

A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Intensive Care/ Anesthesiology".

Deadline for manuscript submissions: 31 July 2024 | Viewed by 1158

Special Issue Editor


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Guest Editor
Department of Anesthesiology and Intensive Care, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania
Interests: sepsis; septic shock; prognosis; presepsin; neutrophil to lymphocyte ratio (NLR); agenesis of ductus venosus; portal venous system anomalies

Special Issue Information

Dear Colleagues,

This Special Issue of Medicina, entitled "Management of Septic Shock in ICU", aims to provide a comprehensive exploration of the contemporary approaches adopted to address one of the most critical challenges in intensive care. Focused on optimizing patient outcomes, this Issue synthesizes cutting-edge research and clinical insights into a cohesive narrative. Emphasizing early detection, we aim to publish research underscoring the importance of using advanced monitoring techniques for the timely identification of septic shock.

Two central themes of this publication will include antibiotic stewardship and the judicious use of antimicrobials in the face of rising antimicrobial resistance. This Issue will delve into evolving fluid resuscitation strategies and the integration of emerging technologies, showcasing the dynamic nature of septic shock management. Multidisciplinary collaboration will take center stage, reflecting the fact that effective care necessitates a unified effort across diverse healthcare domains.

If successful, this Special Issue will serve as a beacon for healthcare professionals seeking to refine their protocols by offering a nuanced understanding of personalized treatment approaches. By encapsulating key elements such as early diagnosis, antibiotic stewardship, fluid resuscitation, technological integration, and interdisciplinary collaboration, this Issue offers to equip practitioners with a holistic perspective on managing septic shock in an ICU setting. Ultimately, this constitutes a vital resource, contributing to ongoing advancements in critical care medicine.

Authors are welcome to submit research papers, short reports, reviews, systematic reviews, meta-analyses, letters to the editor, and commentary papers.

Dr. Nicoleta Alice Dragoescu
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Medicina is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 1800 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • septic shock
  • definition
  • diagnostic
  • management
  • bundles
  • intensive care unit

Published Papers (1 paper)

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Research

13 pages, 752 KiB  
Article
Risk Assessment of Venous Thromboembolism among Septic Shock Patients: Single versus Concurrent Insertion of Central Venous Catheters
by Cosmin Iosif Trebuian, Adina Maria Marza, Alexandru Cristian Cindrea, Alina Petrica, Stefania Onea, Dumitru Sutoi, Claudiu Barsac, Iulia Crintea-Najette, Daian Popa, Raul Chioibas and Ovidiu Alexandru Mederle
Medicina 2024, 60(5), 785; https://doi.org/10.3390/medicina60050785 - 9 May 2024
Viewed by 448
Abstract
Background and Objectives: Thrombosis is a serious complication experienced by some hospitalized patients. While concurrent placement of two catheters (CVCs) in the same central vein offers several benefits in clinical settings, we aimed to investigate the role of this procedure in relation to [...] Read more.
Background and Objectives: Thrombosis is a serious complication experienced by some hospitalized patients. While concurrent placement of two catheters (CVCs) in the same central vein offers several benefits in clinical settings, we aimed to investigate the role of this procedure in relation to the risk of thrombosis. Materials and Methods: Over a two-year retrospective analysis, we examined 114 patients with septic shock caused by a pulmonary infection, who underwent the insertion of one or more central lines into a central vein during their ICU stay. Logistic regression models were employed to assess the correlation between the Caprini risk score, the placement of two CVCs in the same vein, COVID-19 infection and the risk of venous thromboembolism (VTE). Results: In total, 53% of the patients underwent the concurrent insertion of two CVCs. The placement of two CVCs in the same vein appears to elevate the VTE risk by 2.5 times (95% CI: 1.03–6.12). Logistic regression analysis indicated that hemodialysis catheters amplify the VTE risk by nearly five times, even when accounting for a series of factors (95% CI: 1.86–12.31). Conclusions: Our study suggests that the elevated risk of VTE is likely associated with the insertion of the hemodialysis catheters rather than solely the presence of two concurrent catheters. Full article
(This article belongs to the Special Issue Management of Septic Shock in ICU)
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