2004, Number 6
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Rev Fac Med UNAM 2004; 47 (6)
Sepsis, up-to-date concepts (1st of 3 parts)
Carrillo ER, Carvajal RR
Language: Spanish
References: 40
Page: 238-245
PDF size: 109.54 Kb.
ABSTRACT
Sepsis is the inflammatory response to infection and is one of the main cause of patient entry to Intensive Care Unit. It’s associated to high mortality. It’s secondary to interaction between microorganisms and innate immune response. If this process is uncontrolled, it culminates in endothelial damage and coagulopathy, resulting in microvascular thrombosis, tisular hypoxia and multiple organ dysfunction. Early and appropriated diagnosis is fundamental. Treatment consists in: Source control, antibiotic therapy, early resuscitation, metabolic control and other support strategies. Recombinant human activated protein C diminishes the mortality significantly. It is recommended in septic patients at high risk of death with APACHE II score > 25 points, septic shock and multiple organ failure.
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