TAILIEUCHUNG - Báo cáo y học: "Surviving sepsis: a guide to the guidelines"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Surviving sepsis: a guide to the guidelines. | Available online http content 12 3 162 Commentary Surviving sepsis a guide to the guidelines Jean-Louis Vincent1 and John C Marshall2 1 Department of Intensive Care Erasme Hospital Université libre de Bruxelles Route de Lennik 808 B-1070 Brussels Belgium 2Department of Surgery and Critical Care Medicine St Michael s Hospital Bond Wing 4-007 30 Bond Street Ontario M5B 1W8 Canada Corresponding author Dr Jean-Louis Vincent jlvincen@ Published 30 June 2008 Critical Care 2008 12 162 doi cc6924 This article is online at http content 12 3 162 2008 BioMed Central Ltd Abstract The revised Surviving Sepsis Campaign SSC guidelines for the management of severe sepsis and septic shock have recently been published. These guidelines represent the end product of an intense process and provide a template approach to the early resuscitation and support of patients with sepsis based on a synthesis of evidence that has been shown to improve the outcome of the septic patient. The SSC guidelines arose from a recognition that care of the septic patient was suboptimal for at least three reasons. First the entity of sepsis was frequently not diagnosed in a timely fashion allowing the process to evolve into a life-threatening syndrome of major physiologic organ system dysfunction. Secondly even when sepsis was recognized the urgency of treatment was underappreciated - and so haemodynamic resuscitation was tentative and the administration of effective antibiotic therapy was often delayed. Finally treatment was often suboptimal and failed to take advantage of emerging insights into optimal approaches to patient management. The revised guidelines are far from perfect but they represent the best available synthesis of contemporary knowledge in this area and as such should be promoted. After a promising conception a controversial confinement and a difficult labour and delivery the revised Surviving Sepsis Campaign SSC guidelines for the management of .

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