Optimal management of septic shock
Autor: | Stephen J. Fitch, James R. Gossage |
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Rok vydání: | 2002 |
Předmět: |
medicine.medical_specialty
Cardiotonic Agents business.industry Septic shock Hemodynamics General Medicine medicine.disease Shock Septic Optimal management Anti-Bacterial Agents Natural history Antibiotic resistance Fluid therapy Catheterization Swan-Ganz Intensive care Shock (circulatory) Vasoactive medicine Fluid Therapy Humans Acidosis Lactic medicine.symptom Intensive care medicine business |
Zdroj: | Postgraduate Medicine. 111:53-66 |
ISSN: | 1941-9260 0032-5481 |
DOI: | 10.3810/pgm.2002.03.1133 |
Popis: | Septic shock is a common problem in hospitalized patients. Optimal management depends on rapid recognition, aggressive restoration of circulating volume with fluid boluses, initiation of appropriate antibiotic therapy, implementation of adequate monitoring, and meticulous attention to the details of care. Mean arterial pressure should be increased to between 65 and 75 mm Hg as soon as possible to reduce the likelihood of multiorgan dysfunction. Despite these therapeutic maneuvers, however, mortality rates are likely to remain high until the development of therapies that better target the underlying mechanisms of sepsis. |
Databáze: | OpenAIRE |
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