KIM WOODS ONLY

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ppt_presentation.4.pptx

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Abstract

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Demographic Variables

Age

64-68

Gender

Male and female

Diagnosis

Sepsis or septic shock

Hypotension

Elevated lactate level

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Research Design

Specific design of study

Cohort Study

Interventions

Use and insertion of invasive monitoring equipment in ED

Monitoring of hemodynamic parameters such as:

central venous pressure (CVP)

arterial pressure (MAP)

continuous venous oxygen saturation (ScvO2)

Group

Completed protocol

Failed to complete protocol

Sample and Setting

Setting

Large urban tertiary-care hospital

Emergency Department (ED)

Medical Intensive Care Unit (MICU)

Inclusion criteria

Patients admitted to the ED with severe sepsis and hypotension or elevated lactate level

Exclusion criteria

Refusal of central line insertion

Documented contraindication to central line insertion

Did not survive long enough to undergo 6 h of EGDT

Patients not a candidate for aggressive treatment

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Sample and Setting (cont.)

Method used

Statistical method

Sample size

Independent-samples t test over both the 3-month and the 6-month period.

p value based on an independent-samples t test

Mortality rate

The eligible patients had an overall in-hospital mortality rate of 30.5% with a mean APACHE II score of 29.

Refusal to participate number and percentage

2 patient refused CVP

19 total did not meet criteria

Institutional review board

Rhode Island Hospital

Consent

Waived

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References

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References

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