Interpretation of the international guidelines for management of severe sepsis and septic shock ,2012
10.3760/cma.j.issn.1673-4912.2013.01.002
- VernacularTitle:2012版儿童严重脓毒症与脓毒性休克治疗国际指南解读
- Author:
Guoping LU
;
Ye CHENG
- Publication Type:Journal Article
- Keywords:
Severe sepsis;
Septic shock;
Guideline;
Children
- From:
Chinese Pediatric Emergency Medicine
2013;20(1):4-8
- CountryChina
- Language:Chinese
-
Abstract:
The 2012 version of international guidelines for management of severe sepsis and septic shock got re-revised on the basis of the 2008 version.For pediatric severe sepsis,the 2012 version enforces initial resuscitation;develops detailed ant-infection measures;stresses isotonic crystalloid fluid resuscitation and the use of albumin,hetastarch is no longer recommended ;reduces the value of early use of dopamine,and clears the use of corticosteroids indications and the use of blood products;mechanical ventilation is recommended to use lung protective ventilation strategy; standardizes sedation and analgesia applications; clears the level of blood glucose control;others include blood purification,nutrition,stress ulcer prevention recommendations.
