The golden hours in paediatric septic shock--current updates and recommendations
Annals of the Academy of Medicine, Singapore
;
: 267-274, 2014.
Artículo
en Inglés
| WPRIM
| ID: wpr-312286
ABSTRACT
<p><b>INTRODUCTION</b>Paediatric sepsis is a global health problem. It is the leading cause of mortality in infants and children worldwide. Appropriate and timely initial management in the first hours, often termed as the "golden hours", has great impact on survival. The aim of this paper is to summarise the current literature and updates on the initial management of paediatric sepsis.</p><p><b>MATERIALS AND METHODS</b>A comprehensive literature search was performed via PubMed using the search terms 'sepsis', 'septic shock', 'paediatric' and 'early goal-directed therapy'. Original and review articles were identified and selected based on relevance to this review.</p><p><b>RESULTS</b>Early recognition, prompt fluid resuscitation and timely administration of antibiotics remain key in the resuscitation of the septic child. Use of steroids and tight glycaemic control in this setting remain controversial.</p><p><b>CONCLUSION</b>The use of early goal-directed therapy has had significant impact on patient outcomes and protocolised resuscitation of children in septic shock is recommended.</p>
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Estándares de Referencia
/
Resucitación
/
Choque Séptico
/
Terapéutica
/
Guías de Práctica Clínica como Asunto
Tipo de estudio:
Guía de Práctica Clínica
/
Estudio pronóstico
Límite:
Niño
/
Humanos
Idioma:
Inglés
Revista:
Annals of the Academy of Medicine, Singapore
Año:
2014
Tipo del documento:
Artículo
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