Shock séptico en pediatría II. Enfoque actual en el diagnóstico y tratamiento
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Fecha
2013-12
Autores
Profesor/a Guía
Facultad/escuela
Idioma
es
Título de la revista
ISSN de la revista
Título del volumen
Editor
Sociedad Chilena de Pediatría
Nombre de Curso
Licencia CC
Attribution-NonCommercial 4.0 International (CC BY-NC 4.0)
Licencia CC
Resumen
Although the basic concepts of diagnosis and therapy of the child with septic shock have remained similar over time, it is undeniable that in recent decades, new and important concepts have been added, and any treating physician either at the Emergency Department or Intensive Care Unit should be fully aware of them. This second part discusses the similarities and differences between pediatric and adult populations, the utility of metabolic resuscitation goals, as well as the initial therapeutic approach in septic patients. The most important concepts of this work make reference to the differences between children and adults with septic shock, specifically regarding to pathophysiology, clinical presentation and treatment. Volume expansion and vasoactive drugs are crucial if there is no response to fluid resuscitation. The therapeutic management should focus on finding the normalization of macrohemodynamic and systemic perfusion targets. Common observation mistakes in the initial treatment of septic patients should be avoided. This condition has a high incidence and mortality rate; therefore an early and aggressive treatment is essential.
Notas
Indexación: Scopus.
Palabras clave
Perfusion, Oximeters, Skin Temperature, Capillary refill time, Pediatric emergency, Resuscitation, Septic shock, Sepsis
Citación
Revista Chilena de Pediatria, Volume 84, Issue 6, Pages 606 - 615, December 2013
DOI
10.4067/S0370-41062013000600003