Shock séptico refractario
Sepsis and its complications represent one of the greatest contemporary challenges. For years they have been the leading cause of death in intensive medical and postsurgical therapy and their incidence increases in relation to the development of more invasive procedures, immunosuppressive treatments...
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| Language: | Spanish |
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2021
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| Online Access: | https://dialnet.unirioja.es/servlet/oaiart?codigo=8056938 |
| Source: | RECIMUNDO: Revista Científica de la Investigación y el Conocimiento, ISSN 2588-073X, Vol. 5, Nº. 3, 2021, pags. 108-115 |
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RECIMUNDO: Revista Científica de la Investigación y el Conocimiento, ISSN 2588-073X, Vol. 5, Nº. 3, 2021, pags. 108-115
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Spanish
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Sepsis
shock fluidos morbilidad pacientes Sepsis shock fluids morbidity patients |
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Sepsis
shock fluidos morbilidad pacientes Sepsis shock fluids morbidity patients Tumbaco Guerrero, Génesis Belén García Montiel, Martha Alexandra Magallanes Vera, Yahaira Arlet Ponce Rodríguez, Javier Enrique Shock séptico refractario |
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Sepsis and its complications represent one of the greatest contemporary challenges. For years they have been the leading cause of death in intensive medical and postsurgical therapy and their incidence increases in relation to the development of more invasive procedures, immunosuppressive treatments, chemotherapy, older patients, immunodeficiency syndrome and multiresistant hospital floras. The research methodology is a bibliographic review that was supported by electronic media such as academic Google, PubMed, among others. Where relevant information was found that helped to achieve this work. The main objective is to create a fairly explicit and complete working instrument that allows it to be a reference for other researchers on the subject of study. The correct classification of shock according to the existing consensus on this pathology is vital for the approach, both diagnosis and treatment, to reduce morbidity in patients. This is a public health problem, since this pathology can occur in surgical areas of health centers due to surgical interventions, that is why any site that is identified as potential to contract sepsis must be identified and treated in a timely manner. Rapid detection of tissue hypoperfusion and aggressive resuscitation aims to normalize perfusion parameters. The use of fluids, administration of broad spectrum antibiotics, use of inotropic and / or vasopressor agents and the elimination of the infectious focus,
as treatment, has evidence that it improves the prognosis of patients with this pathology. In the case of refractory septic shock, the use of vasopressors, hydrocortisone, and new vasoactive drugs should be considered. Like nutritional support, it is important, since septic shock can produce a serious complication such as malnutrition that must be prevented and treated appropriately.
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| format |
Article
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| author |
Tumbaco Guerrero, Génesis Belén
García Montiel, Martha Alexandra Magallanes Vera, Yahaira Arlet Ponce Rodríguez, Javier Enrique |
| author_facet |
Tumbaco Guerrero, Génesis Belén
García Montiel, Martha Alexandra Magallanes Vera, Yahaira Arlet Ponce Rodríguez, Javier Enrique |
| author_sort |
Tumbaco Guerrero, Génesis Belén
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| title |
Shock séptico refractario
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| title_short |
Shock séptico refractario
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| title_full |
Shock séptico refractario
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| title_fullStr |
Shock séptico refractario
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| title_full_unstemmed |
Shock séptico refractario
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| title_sort |
shock séptico refractario
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| publishDate |
2021
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https://dialnet.unirioja.es/servlet/oaiart?codigo=8056938
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1767463989968633856
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dialnet-ar-18-ART00014754242023-05-30Shock séptico refractarioTumbaco Guerrero, Génesis BelénGarcía Montiel, Martha AlexandraMagallanes Vera, Yahaira ArletPonce Rodríguez, Javier EnriqueSepsisshockfluidosmorbilidadpacientesSepsisshockfluidsmorbiditypatientsSepsis and its complications represent one of the greatest contemporary challenges. For years they have been the leading cause of death in intensive medical and postsurgical therapy and their incidence increases in relation to the development of more invasive procedures, immunosuppressive treatments, chemotherapy, older patients, immunodeficiency syndrome and multiresistant hospital floras. The research methodology is a bibliographic review that was supported by electronic media such as academic Google, PubMed, among others. Where relevant information was found that helped to achieve this work. The main objective is to create a fairly explicit and complete working instrument that allows it to be a reference for other researchers on the subject of study. The correct classification of shock according to the existing consensus on this pathology is vital for the approach, both diagnosis and treatment, to reduce morbidity in patients. This is a public health problem, since this pathology can occur in surgical areas of health centers due to surgical interventions, that is why any site that is identified as potential to contract sepsis must be identified and treated in a timely manner. Rapid detection of tissue hypoperfusion and aggressive resuscitation aims to normalize perfusion parameters. The use of fluids, administration of broad spectrum antibiotics, use of inotropic and / or vasopressor agents and the elimination of the infectious focus, as treatment, has evidence that it improves the prognosis of patients with this pathology. In the case of refractory septic shock, the use of vasopressors, hydrocortisone, and new vasoactive drugs should be considered. Like nutritional support, it is important, since septic shock can produce a serious complication such as malnutrition that must be prevented and treated appropriately.La sepsis y sus complicaciones representan uno de los mayores desafíos contemporáneos. Desde hace años constituyen la primera causa de muerte en terapia intensiva médica y postquirúrgica y su incidencia aumenta con relación al desarrollo de procedimientos más invasivos, tratamientos inmunodepresores, quimioterapia, mayor edad de los enfermos, síndrome de inmunodeficiencia y floras hospitalarias multirresistentes. La metodología de la investigación, es una revisión bibliográfica que se apoyó en medios electrónicos como Google académico, PubMed, entre otros. Donde se encontró información relevante que ayudo a la consecución del presente trabajo. El objetivo fundamental es crear un instrumento de trabajo bastante explicito y completo que permita ser una referencia para otros investigadores, acerca del tema de estudio. La correcta clasificación del shock de acuerdo a los consensos ya existentes sobre esta patología es vital para el enfoque, tanto de diagnostico como del tratamiento, para reducir la morbilidad en los pacientes. Este es un problema de salud pública, ya que esta patología se puede presentar en áreas quirúrgicas de centros de salud por intervenciones quirúrgicas, es por ello que cualquier sitio que sea identificado como potencial para contraer sepsis debe ser identificado y tratado de forma oportuna. La detección rápida de la hipoperfusión tisular y una reanimación agresiva, tiene como objetivo normalizar los parámetros de perfusión. El uso de fluidos, administración de antibióticos de amplio espectro, empleo de agentes inótropos y/o vasopresores y la eliminación del foco infeccioso, como tratamiento posee evidencia de que mejora el pronóstico de los pacientes con esta patología. En el caso del shock séptico refractario el uso de vasopresores, hidrocortisona y nuevos fármacos vasoactivos deben considerarse. Al igual que el soporte nutricional es importante, ya que el shock séptico puede producir una complicación grave como la desnutrición que debe ser prevenida y tratada adecuadamente.2021text (article)application/pdfhttps://dialnet.unirioja.es/servlet/oaiart?codigo=8056938(Revista) ISSN 2588-073XRECIMUNDO: Revista Científica de la Investigación y el Conocimiento, ISSN 2588-073X, Vol. 5, Nº. 3, 2021, pags. 108-115spaLICENCIA DE USO: Los documentos a texto completo incluidos en Dialnet son de acceso libre y propiedad de sus autores y/o editores. 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