By: Julien Guillaumin, Docteur Vétérinaire, Diplomate ACVECC, Diplomate ECVECC Description: There is limited literature in septic shock in dogs and cats, although plenty of evidence-based practices from human medicine. With a
By: Julien Guillaumin, Docteur Vétérinaire, Diplomate ACVECC, Diplomate ECVECC
There is limited literature in septic shock in dogs and cats, although plenty of evidence-based practices from human medicine. With a mortality rate around 15-20% in dogs, it is very important that septic shock is quickly suspected, appropriately diagnosed and treated. Both the veterinary definitions and the human Sepsis 3 definitions aligned for septic shock, which avoids confusion of having 2 sets of definitions for SIRS, sepsis and MODS. Treatment of septic shock includes rapid source identification and control, and a bundle of treatments. This bundle includes early and judicious fluid therapy, rapid administration of broad spectrum antibiotics, sometimes with higher doses or prolonged infusion, and finally rapid administration of vasopressors. Specific triggers and timing of decision-making processes regarding use of those therapies, especially antibiotics and pressors, are important. Finally, ancillary treatment such as monitoring, nutrition and specific organ dysfunction treatments are important to understand the management of this complex syndrome.
- Understand the timing of antibiotic and vasopressor administration in septic shock
- Recall the veterinary and human sepsis 3 definitions of septic shock
- Apply a specific bundle of treatment to the management of septic shock in dogs and cats
Dr Guillaumin is currently an Associate Professor in Emergency and Critical Care at Colorado State University. After graduating from the Ecole Nationale Veterinaire de Nantes, France, Dr Guillaumin pursued a small animal rotating internship at the Ecole Nationale Veterinaire d’Alfort, France. After graduation, he worked in both private practice emergency settings and academia, serving as a clinical instructor in Emergency and Critical Care at the Ecole Nationale Veterinaire de Lyon (now VetAgroSup). Dr Guillaumin continued his advanced training in Emergency and Critical Care by moving to the US in 2005, working as a clinical instructor at Cornell University and then completed his ACVECC residency at the University of California, Davis in 2009.
For 10 years, Dr Guillaumin was a clinician, teacher and researcher as a clinical track Assistant, then Associate Professor at the Ohio State University. He also acted as the Blood Bank Director. In 2015, Dr Guillaumin was recognized as an invited diplomate of the European College of Veterinary Emergency and Critical Care. In 2019, Dr Guillaumin took a tenure-track position at Colorado State University. His clinical and research interests include thrombosis and thrombolysis, hemostasis, blood banking, transfusion medicine, sepsis and septic shock.
Dr Guillaumin is a former Chair of the ACVECC residency training committee and currently serves as a Chair of the Joint Committee which oversees the work of the 3 major ACVECC Committees as well as a member of the ECVECC Education Committee. Dr Guillaumin has trained over 150 interns and ECC residents and has over 200 invited lectures and scholarly publications.
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