Actualización del bundle de reanimación inicial y monitorización integral de la perfusión tisular en la sepsis severa / Initial resuscitation bundle and monitoring tissue perfusion in severe sepsis
Rev. méd. Chile
;
141(9): 1173-1181, set. 2013. tab
Article
Dans Espagnol
| LILACS
| ID: lil-699685
ABSTRACT
Sepsis is a global health problem. Despite recent advances in understanding its pathophysiology and clinical trials testing potential new therapies, mortality remains unacceptably high. In fact, sepsis is the leading cause of death in non-coronary intensive care units around the world. However, during the past decade, some studies have highlighted that early recognition of sepsis and an appropriate initial approach are fundamental determinants of prognosis. A systematic approach to the harmful triad of sepsis-related hypotension, tissue hypoperfusion and organ dysfunction, with low-cost, easy to implement, and effective interventions, can significantly improve the chances of survival. In this article, we will update the evidence supporting the initial resuscitation bundle for patients with severe sepsis, and discuss the physiological basis for perfusion monitoring during septic shock resuscitation.
Texte intégral:
Disponible
Indice:
LILAS (Amériques)
Sujet Principal:
Réanimation
/
Sepsie
Type d'étude:
Étude pronostique
/
Revues systématiques évaluées
Limites du sujet:
Humains
Pays comme sujet:
Amérique du Sud
/
Chili
langue:
Espagnol
Texte intégral:
Rev. méd. Chile
Thème du journal:
Médicament
Année:
2013
Type:
Article
Pays d'affiliation:
Chili
Institution/Pays d'affiliation:
Hospital Clínico Universidad de Chile/CL
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