“You are aware that there are two main approaches to the management of septic shock in a patient such as Ms. Jones. One approach involves serial measurement of central venous pressure, central venous oxygen saturation (Scvo2), and hemoglobin, and following the early, goal-directed therapy (EGDT) protocol, in which specified targets are used for the initiation of inotropic agents or transfusion of red cells.1 For example, if the central venous pressure is less than 8 mm Hg, additional fluid resuscitation is administered; if the Scvo2 is less than 70%, the patient receives a transfusion of red cells until a hematocrit goal of at least 30% is reached, and if the Scvo2 remains less than 70%, inotropic support is initiated.
The second approach involves continuing intravenous administration of antibiotics and vasopressors, guided by clinical signs including blood pressure and urine output, without serial central venous pressure monitoring, serial Scvo2 monitoring, transfusion of red cells, or administration of inotropic agents. You are undecided about which of these approaches would maximize the chance of survival for your patient with septic shock.”
Both protocols discussed in the foregoing excerpt from the article entitled Management of Septic Shock Rebecca E. Berger, M.D., Emanuel Rivers, M.D., and Mitchell M. Levy, M.D., in the June 8, 2017 edition of the New England Journal of Medicine (http://bit.ly/2tLUzvZ) would be facilitated with potentially life-saving results by continuous automatic monitoring in a manner easily modified by the healthcare provider organization and/or the attending physician. An information technology (IT) solution compliant with The Cloud Healthcare Appliance Real-TIme Solution as a Service (CHARTSaaS) reference architecture (RA) would be enable providers to create an IT application a.k.a. “apps” to accomplish such monitoring with automatic notification cost-effectively.
Please validate this proposition to your own satisfaction by reading the white paper at http://bit.ly/2r1OtoR, viewing the tutorials posted on YouTube (http://bit.ly/2sVajvS) and also by reviewing the details of CHARTSaaS™ and the CHARTSaaS RA™ in these presentations:
Healthcare providers will benefit significantly from appreciating and then applying a CHARTSaaS RA-compliant IT solution. To do so will mitigate medical mistakes (currently the third leading cause of patient deaths. per Makaray and Daniel (re http://bit.ly/1rtW6Sa); thereby minimizing patient adverse events and optimizing clinical case outcomes while maximizing the cost-effectiveness of care and treatment, and also accelerating the accrual and facilitating the application of medical knowledge.