Optimal management of septic shock: Rapid recognition and institution of therapy are crucial

Septic shock is the most common cause of death in intensive care units in the United States, and its incidence is rising. This growth is most likely due to the increased use of invasive devices and immunosuppressive therapies, higher numbers of immunocompromised patients, and increasing antibiotic r...

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Bibliographic Details
Published in:Postgraduate medicine 2002-03, Vol.111 (3), p.53-66
Main Authors: Fitch, Stephen J., Gossage, James R.
Format: Article
Language:English
Subjects:
Acidosis, Lactic - prevention & control
Anti-Bacterial Agents - therapeutic use
Cardiotonic Agents - therapeutic use
Catheterization, Swan-Ganz
Fluid Therapy
Hemodynamics
Humans
Shock, Septic - diagnosis
Shock, Septic - immunology
Shock, Septic - therapy
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Summary:Septic shock is the most common cause of death in intensive care units in the United States, and its incidence is rising. This growth is most likely due to the increased use of invasive devices and immunosuppressive therapies, higher numbers of immunocompromised patients, and increasing antibiotic resistance. In this article, Drs Fitch and Gossage discuss the natural history and diagnosis of septic shock and optimal management, including optimization of organ perfusion, fluid therapy, and use of vasoactive agents.
ISSN:0032-5481
1941-9260
DOI:10.3810/pgm.2002.03.1133