J Korean Med Assoc.  2002 Feb;45(2):198-205. 10.5124/jkma.2002.45.2.198.

Multiple Organ Dysfunction Syndrome

• Ko YG

• KMID: 2347643
• DOI: http://doi.org/10.5124/jkma.2002.45.2.198

Abstract

Multiple organ dysfunction syndrome(MODS) emerged as a new syndrome about 30 years ago as a result of the ability to keep patients alive with advanced medical technology. Despite intensive investigation, it remains the main cause of deaths in the intensive care unit today. MODS was presumed to be caused by various pathophysiologic conditions. The epidemiology and pathophysiology include infectious mode 1 and 2, 1-hit and 2-hit models, dysfunctional inflammatory response, impaired oxygen consumption, xanthine oxidase-dependent reactive oxygen metabolites, neutrophil chemotaxis, polymorphonuclear neutrophil adherence, gut hypothesis, and immunosuppression from blood transfusion. Unfortunately, once MODS develops, our current understanding of the inflammatory response is inadequate to manage the condition. Our only recourse is to control the source of inflammation, support the failing organs, provide nutritional support, and prevent further iatrogenic injury.

Keyword

Inflammatory response; Multiple organ dysfunction syndrome

MeSH Terms

Blood Transfusion
Cause of Death
Chemotaxis
Epidemiology
Humans
Immunosuppression
Inflammation
Intensive Care Units
Multiple Organ Failure*
Neutrophils
Nutritional Support
Oxygen
Oxygen Consumption
Xanthine
Oxygen
Xanthine