[Surgical intensive care medicine. Current therapy concepts for septic diseases].
The clinical appearance of septic disorders is characterized by an enormous dynamic. The sepsis-induced dysbalance of the immune system necessitates immediate and aggressive therapeutic interventions to prevent further damage progression of the disease to septic shock and multiple organ failure. This includes supportive therapy to normalize and maintain organ and tissue perfusion as well as the identification of the infection focus. In cases where an infectious focus is identified, surgical source control frequently is a key element of the treatment strategy besides pharmacologic and supportive measures. The integrative approach of the management of septic patients requires rapid communication between the involved medical disciplines and the nursing personnel. Therefore, this article outlines current therapeutic concepts of septic diseases as well as central nursing aspects.
Niederbichler
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AD
Brandverletztenzentrum, Klinik für Plastische, Hand- und Wiederherstellungschirurgie, Medizinische Hochschule Hannover, Hannover. niederbichler.andreas@mh-hannover.de
Ipaktchi
K
K
Jokuszies
A
A
Hirsch
T
T
Altintas
M A
MA
Handschin
A E
AE
Busch
K H
KH
Gellert
M
M
Steinau
H-U
HU
Vogt
P M
PM
Steinsträsser
L
L
D000138:Acidosis / Q000175:diagnosis / Q000628:therapy; D001831:Body Temperature; D001927:Brain Diseases / Q000175:diagnosis / Q000517:prevention & control; D003348:Cortisone / Q000502:physiology; D003422:Critical Care / Q000379:methods*; D006339:Heart Rate; D006801:Humans; D006854:Hydrocortisone / Q000627:therapeutic use; D007022:Hypotension / Q000175:diagnosis; D000860:Hypoxia / Q000175:diagnosis; D017053:Infection Control; D007958:Leukocyte Count; D001523:Mental Disorders / Q000209:etiology / Q000628:therapy; D009102:Multiple Organ Failure / Q000517:prevention & control; D011183:Postoperative Complications / Q000175:diagnosis / Q000517:prevention & control; D051437:Renal Insufficiency / Q000175:diagnosis / Q000628:therapy; D018805:Sepsis / Q000276:immunology / Q000451:nursing / Q000503:physiopathology / Q000601:surgery*; D012772:Shock, Septic / Q000276:immunology / Q000451:nursing / Q000503:physiopathology
D003348:Cortisone; D006854:Hydrocortisone