Shock in sepsis

Autor: Clare G. Peterson, William W. Krippaehne
Rok vydání: 1958
Předmět:
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