The Decision-Making Process in Sepsis and Septic Shock

摘要: Despite dedicated attention and research, sepsis continues to be problematic in surgical patients. Sepsis septic shock are ten times more frequent have a higher associated mortality patients compared with perioperative myocardial infarction pulmonary embolism. When occurs patients, it has an of 39 % emergent cases 30 elective cases. Recent evidence-based advancement critical care practices led decrease the case fatality rate for severe sepsis. These include implementation screening program early identification, prompt administration antimicrobials, obtaining source control. Particularly using Systemic Inflammatory Response Syndrome (SIRS) criteria screen proven impractical insensitive; programs designed specifically should used instead. While individual components goal-directed therapy been recently disputed, recognition remains paramount importance improving survival from shock.