Severe Sepsis During Pregnancy

被引：19
|
作者：
Pacheco, Luis D. [1 ,2 ]
Saade, George R. [1 ]
Hankins, Gary D. V. [1 ]
机构：
[1] Univ Texas Med Branch, Dept Obstet & Gynecol, Div Maternal Fetal Med, Galveston, TX 77555 USA
[2] Univ Texas Med Branch, Div Surg Crit Care, Dept Anesthesiol, Galveston, TX 77555 USA
来源：
CLINICAL OBSTETRICS AND GYNECOLOGY | 2014年 / 57卷 / 04期
关键词：
sepsis; septic shock; pregnancy;
D O I：
10.1097/GRF.0000000000000066
中图分类号：
R71 [妇产科学];
学科分类号：
100211 ;
摘要：
Severe sepsis is a major cause of mortality among critically ill patients. Early recognition accompanied by early initiation of broad-spectrum antibiotics with source control and fluid resuscitation improves outcomes. Hemodynamic resuscitation starts with fluid therapy followed by vasopressors if necessary. Cases refractory to first-line vasopressors (norepinephrine) will require second-line vasopressors (epinephrine or vasopressin) and low-dose steroid therapy. Resuscitation goals should include optimization of central venous oxygenation and serum lactate.
引用
收藏
页码：827 / 834
页数：8
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