Shock séptico en unidad de cuidados intensivos. Enfoque actual en el tratamiento

Daniela S. Arriagada, Alejandro F. Donoso, Pablo R. Cruces, Franco R. Díaz

Resultado de la investigación: Article

3 Citas (Scopus)

Resumen

Essential therapeutic principles in children with septic shock persist over time, although some new concepts have been recently incorporated, and fully awareness of pediatricians and intensivists is essential. Fluid resuscitation is a fundamental intervention, but the kind of ideal fluid has not been established yet, as each of these interventions has specific limitations and there is no evidence supportive of the superiority of one type of fluid. Should septic shock persists despite adequate fluid resuscitation, the use of inotropic medication and/or vasopressors is indicated. New vasoactive drugs can be used in refractory septic shock caused by vasopressors, and the use of hydrocortisone should be considered in children with suspected adrenal insufficiency, as it reduces the need for vasopressors. The indications for red blood cells transfusion or the optimal level of glycemia are still controversial, with no consensus on the threshold value for the use of these blood products or the initiation of insulin administration, respectively. Likewise, the use of high-volume hemofiltration is a controversial issue and further study is needed on the routine recommendation in the course of septic shock. Nutritional support is crucial, as malnutrition is a serious complication that should be properly prevented and treated. The aim of this paper is to provide update on the most recent advances as concerns the treatment of septic shock in the pediatric population.

Idioma originalSpanish
Páginas (desde-hasta)224-235
Número de páginas12
PublicaciónRevista Chilena de Pediatria
Volumen86
N.º4
DOI
EstadoPublished - 2015

Huella dactilar

Septic Shock
Intensive Care Units
Resuscitation
Therapeutics
Hemofiltration
Erythrocyte Transfusion
Adrenal Insufficiency
Nutritional Support
Malnutrition
Hydrocortisone
Insulin
Pediatrics
Pharmaceutical Preparations
Population

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Citar esto

Arriagada, Daniela S. ; Donoso, Alejandro F. ; Cruces, Pablo R. ; Díaz, Franco R. / Shock séptico en unidad de cuidados intensivos. Enfoque actual en el tratamiento. En: Revista Chilena de Pediatria. 2015 ; Vol. 86, N.º 4. pp. 224-235.
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abstract = "Essential therapeutic principles in children with septic shock persist over time, although some new concepts have been recently incorporated, and fully awareness of pediatricians and intensivists is essential. Fluid resuscitation is a fundamental intervention, but the kind of ideal fluid has not been established yet, as each of these interventions has specific limitations and there is no evidence supportive of the superiority of one type of fluid. Should septic shock persists despite adequate fluid resuscitation, the use of inotropic medication and/or vasopressors is indicated. New vasoactive drugs can be used in refractory septic shock caused by vasopressors, and the use of hydrocortisone should be considered in children with suspected adrenal insufficiency, as it reduces the need for vasopressors. The indications for red blood cells transfusion or the optimal level of glycemia are still controversial, with no consensus on the threshold value for the use of these blood products or the initiation of insulin administration, respectively. Likewise, the use of high-volume hemofiltration is a controversial issue and further study is needed on the routine recommendation in the course of septic shock. Nutritional support is crucial, as malnutrition is a serious complication that should be properly prevented and treated. The aim of this paper is to provide update on the most recent advances as concerns the treatment of septic shock in the pediatric population.",
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Shock séptico en unidad de cuidados intensivos. Enfoque actual en el tratamiento. / Arriagada, Daniela S.; Donoso, Alejandro F.; Cruces, Pablo R.; Díaz, Franco R.

En: Revista Chilena de Pediatria, Vol. 86, N.º 4, 2015, p. 224-235.

Resultado de la investigación: Article

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