Tuberc Respir Dis.  2009 Dec;67(6):491-498.

Treatment Guidelines of Sepsis and Septic Shock

Affiliations
  • 1Department of Internal Medicine, Research Institute of Clinical Medicine, Chonbuk National University Medical School, Jeonju, Korea. lhbmd@jbnu.ac.kr

Abstract

Severe sepsis and septic shock are major healthcare problems with high mortality, ranging from 20% to 60%, affecting millions of individuals around the world each year. The speed and appropriateness of therapy administered in the initial hours after severe sepsis develops have an important impact on the outcome. In 2004, an international guideline that the bedside clinician could use to improve the outcomes in severe cases of sepsis and septic shock was published. Several landmark studies recently demonstrated that therapeutic strategies may reduce mortality substantially. The "Surviving Sepsis Campaign guidelines for management of severe sepsis and septic shock: 2008", using a new evidence-based methodology system for assessing the quality of evidence and the strength of the recommendations, was updated. The revised version is based on an updated search into 2007. Evidenced-based recommendations regarding the acute management of sepsis and septic shock are the first step toward improving the outcomes of critically ill patients. We review the treatment guidelines of sepsis and septic shock.

Keyword

Sepsis; Shock, Septic; Practice Guideline

MeSH Terms

Critical Illness
Delivery of Health Care
Humans
Resin Cements
Sepsis
Shock, Septic
Resin Cements

Figure

  • Figure 1 Algorithm of early goal-directed therapy19. SBP: systolic blood pressure; CVP: central venous pressure; MAP: mean arterial pressure; SCVO2: mixed venous oxygen saturation in central vein; PRC: packed red blood cell; Hct: hematocrit; HR: heart rate.

  • Figure 2 Use of spontaneous breathing trial in weaning ARDS patients20-23. PEEP: positive end-expiratory pressure; VE: minute ventilation; SBT: spontaneous breathing trial; RR: respiration rate; SaO2: arterial oxygen saturation; SBP: systolic blood pressure; F: frequency; VT: tidal volume; MV: mechanical ventilation; CPAP: continuous positive airway pressure; ET: endotracheal.


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