Shock in sepsis
Autor: | Clare G. Peterson, William W. Krippaehne |
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Rok vydání: | 1958 |
Předmět: |
Hyperthermia
medicine.medical_specialty Vasomotor business.industry medicine.medical_treatment Shock Blood volume General Medicine Infections medicine.disease Asepsis Sepsis Surgical Procedures Operative Oxygen therapy Shock (circulatory) Anesthesia medicine Surgery medicine.symptom Intensive care medicine Adverse effect business |
Zdroj: | The American Journal of Surgery. 96:158-171 |
ISSN: | 0002-9610 |
DOI: | 10.1016/0002-9610(58)90900-0 |
Popis: | The most common pattern of death in surgical patients is death in sepsis. Death in sepsis is a complex of reactions; it is not a simple killing affair. When shock occurs in such cases, multiple mechanisms are involved. The role of the blood volume, the cardiac output, loss of vasomotor control, endocrine and metabolic factors, the adverse effects of hyperthermia and the control of sepsis are discussed. Treatment of shock in infection involves the consideration of accurate blood volume replacement, vasopressor therapy, short term intravenous hydrocortisone therapy, total body cooling and oxygen therapy. The problems of antibiotic resistance, the hospital environment, the role of antisepsis and the rigid requirements in asepsis, surgical indications, and some biologic factors in sepsis, including the role of nutrition in host resistance, are discussed in relation to the fundamental problem of the control of infection. |
Databáze: | OpenAIRE |
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