Hi, all- Based on traditional definition for severe sepsis, is it appropriate to use an increased need in O2 as an indicator of sepsis associated organ dysfunction when the source of infection is in the lungs, ie PNA? Clearly if the lungs have infection oxygenation needs likely will increase, yet this isn't necessarily related to a hypo-perfused state.
We have many patients coming in with bacterial PNA or COVID PNA and they are placed on supplemental O2, 2+ SIRS present, lactate<2, normotensive, no other signs of end-organ dysfunction. Do we use need for supplemental O2 as organ dysfunction? I would say NO. Historically in my sepsis work we only used this criteria if remote from the site of infection. I am looking for validation of this and have a hard time finding literature to support. I would appreciate your thoughts. Thanks! Jessica Harkey, MSN, RN, ACCNS-AG Manager, Sepsis Quality Quality, Safety and Risk 2500 Grant Road, Mountain View, CA 94040 650-988-7968 Office 661-330-2396 Cell [email protected]<mailto:[email protected]> elcaminohealth.org<www.elcaminohospital.org> [cid:[email protected]] Notice: This email and any attachments are intended only for the named recipient(s), and may include confidential, proprietary or legally privileged information. If you are not the intended recipient, you are not authorized to copy, print, share, save or rely upon this email or any attachments; instead please notify the sender by reply and immediately destroy this email and any attachments. Please consider the environment before printing this e-mail.
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