Sepsis and septic shock during pregnancy: clinical management

被引：0

作者：

de Castro, Eveline Oliveira ^{[1
]}

de Figueiredo Lemos Bortolotto, Maria Rita ^{[2
]}

Zugaib, Marcelo ^{[3
]}

机构：

[1] Univ Sao Paulo, Fac Med, Dept Obstet & Ginecol, Sao Paulo, SP, Brazil

[2] Univ Sao Paulo, Hosp Clin, Fac Med, Clin Obstet, Sao Paulo, SP, Brazil

[3] Univ Sao Paulo, Fac Med, Disciplina Obstet, Sao Paulo, SP, Brazil

来源：

REVISTA BRASILEIRA DE GINECOLOGIA E OBSTETRICIA | 2008年 / 30卷 / 12期

关键词：

Sepsis; Shock; septic; Pregnancy complications; Maternal mortality; infectious;

D O I：

暂无

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Sepsis is one of the main causes of maternal death, being related to infections from obstetric origin (infected abortion, chorioamnionitis, puerperal infection) or non-obstetric (resulting from infections which occur in other areas). This review aims at describing the mechanisms involved in the physiopathology of this entity and at updating the clinical approach to sepsis, recommended in international guidelines (early goal-directed therapy -precocious resuscitation, or precocious treatment guided by goals), as well as at calling attention to the influence of pregnancy both in the clinical manifestation and in the therapeutic management of septic conditions.

引用

页码：631 / 638

页数：8

共 16 条

[1]

Bensenor IM, 2005, EPIDEMIOLOGIA ABORDA, P1

[2]

Bittar RE, 2007, PROTOCOLOS ASSISTENC, P3

[3]

Cabar FR, 2007, PROTOCOLOS ASSISTENC, P649

[4] Surviving Sepsis Campaign: International guidelines for management of severe sepsis and septic shock: 2008 (vol 34, pg 17, 2008) [J].

Dellinger, R. Phillip ;

Levy, Mitchell M. ;

Carlet, Jean M. ;

Bion, Julian ;

Parker, Margaret M. ;

Jaeschke, Roman ;

Reinhart, Konrad ;

Angus, Derek C. ;

Brun-Buisson, Christian ;

Beale, Richard ;

Calandra, Thierry ;

Dhainaut, Jean-Francois ;

Gerlach, Herwig ;

Harvey, Maurene ;

Marini, John J. ;

Marshall, John ;

Ranieri, Marco ;

Ramsay, Graham ;

Sevransky, Jonathan ;

Thompson, B. Taylor ;

Townsend, Sean ;

Vender, Jeffrey S. ;

Zimmerman, Janice L. ;

Vincent, Jean-Louis .

INTENSIVE CARE MEDICINE, 2008, 34 (04) :783-785

[5]

Fernandez-Perez Evans R, 2005, Crit Care Med, V33, pS286, DOI 10.1097/01.CCM.0000182479.63108.CD

[6] Early goal directed therapy for sepsis during pregnancy [J].

Guinn, Debra A. ;

Abel, David E. ;

Tomlinson, Mark W. .

OBSTETRICS AND GYNECOLOGY CLINICS OF NORTH AMERICA, 2007, 34 (03) :459-+

[7] Medical progress: The pathophysiology and treatment of sepsis. [J].

Hotchkiss, RS ;

Karl, IE .

NEW ENGLAND JOURNAL OF MEDICINE, 2003, 348 (02) :138-150

[8]

Jubran A, 2007, METHODS WEANING MECH

[9] Mechanisms of disease: The pathogenesis of vasodilatory shock [J].

Landry, DW ;

Oliver, JA .

NEW ENGLAND JOURNAL OF MEDICINE, 2001, 345 (08) :588-595

[10] 2001 SCCM/ESICM/ACCP/ATS/SIS International Sepsis Definitions Conference [J].

Levy, MM ;

Fink, MP ;

Marshall, JC ;

Abraham, E ;

Angus, D ;

Cook, D ;

Cohen, J ;

Opal, SM ;

Vincent, JL ;

Ramsay, G .

CRITICAL CARE MEDICINE, 2003, 31 (04) :1250-1256

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