After watching the webinar, participants will be able to:
- diagnose infections and sepsis in an intensive coronary care unit (ICCU);
- use antibiotic treatment; and
- recognise and manage severe sepsis, septic shock and multi-organ failure.
The number of patients who are admitted to hospital for sepsis is growing, as well as the number of sepsis cases acquired in hospitals (HA-sepsis), particularly in the ICU. A recent meta-analysis 1 showed a pooled incidence of HA-sepsis with organ dysfunction of 9.3/1000 pts, with an incidence in ICU of 56.5/1000 pts; mortality of these ICU patients was very high indeed (56.5%). As far as ICCUs are concerned, the number of patients with sepsis increased by 26% in recent years. 2
Intensivist cardiologists have a duty to face multiple difficult challenges in the critical care of their septic patients and many of the skills needed are frequently not included in the educational paths of the cardiologists working in ICCUs. The management of patients with infective endocarditis has already been included in the core curriculum of the ACVC; however, a broader education on infections, sepsis and septic shock is needed.
This educational intervention will increase the capacity of intensivist cardiologists to identify and treat patients with sepsis, particularly to improve their management in case of septic shock and multi-organ failure, two life-threatening conditions.
(1) Markwart R. Intens Care Med 2020;46:1536-51.
(2) Morrow DA et al. Circulation 2012;126:1408-28.