Sepsis Management and the Pediatric Surgeon
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In brief
In brief
This article reviews evidence-based approaches to pediatric sepsis management for surgeons, covering fluid resuscitation protocols, antibiotic selection, vasopressor use, and steroid therapy. It also addresses advanced interventions including renal replacement therapy and ECLS for refractory cases.
Written by the GCMD Library team from the article.
Publication date: Available online 18 January 2019
Source: Seminars in Pediatric Surgery
Author(s): Laura A. Boomer, Alexander Feliz
Abstract
Sepsis is a life-threatening condition that requires aggressive, timely, and multi-disciplinary care. Understanding the changes in national guidelines regarding definitions, diagnosis and the management of pediatric sepsis is critical for the pediatric surgeon participating in the care of these patients. The purpose of this article is to review the essential steps for the timely management of pediatric sepsis, including fluid resuscitation, antibiotics, vasopressors, and steroids. This includes a description of the key adjunct modalities of treatment, including renal replacement therapy and extracorporeal life support (ECLS).