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
Artigo
em Espanhol
| 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.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Ressuscitação
/
Sepse
Tipo de estudo:
Estudo prognóstico
/
Revisões Sistemáticas Avaliadas
Limite:
Humanos
País/Região como assunto:
América do Sul
/
Chile
Idioma:
Espanhol
Revista:
Rev. méd. Chile
Assunto da revista:
Medicina
Ano de publicação:
2013
Tipo de documento:
Artigo
País de afiliação:
Chile
Instituição/País de afiliação:
Hospital Clínico Universidad de Chile/CL
Similares
MEDLINE
...
LILACS
LIS