Diagnostics, therapy and outcome prediction in abdominal sepsis: current standards and future perspectives.
Langenbecks Arch Surg
; 399(1): 11-22, 2014 Jan.
Article
em En
| MEDLINE
| ID: mdl-24186147
ABSTRACT
PURPOSE:
In the perioperative phase, sepsis and sepsis-associated death are the most important problems for both the surgeon and the intensivist. Critically ill patients profit from an early identification and implementation of an interdisciplinary therapy. The purpose of this review on septic peritonitis is to give an update on the diagnosis and its evidence-based treatment.RESULTS:
Rapid diagnosis of sepsis is essential for patient´s survival. A bundle of studies was performed on early recognition and on new diagnostic tools for abdominal sepsis. Although surgical intervention is considered as an essential therapeutic step in sepsis therapy the time-point of source control is still controversially discussed in the literature. Furthermore, the Surviving Sepsis Campaign (SSC) guidelines were updated in 2012 to facilitate evidence-based medicine for septic patients.CONCLUSION:
Despite many efforts, the mortality of surgical septic patients remains unacceptably high. Permanent clinical education and further surgical trials are necessary to improve the outcome of critically ill patients.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Peritonite
/
Choque Séptico
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Sepse
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Guideline
/
Prognostic_studies
/
Risk_factors_studies
/
Screening_studies
Idioma:
En
Revista:
Langenbecks Arch Surg
Ano de publicação:
2014
Tipo de documento:
Article