In the past two years, different organizations have updated their clinical practice guidelines for hemodynamic support in pediatric septic shock. The studies conducted in adults have questioned the initial management of sepsis in accordance to protocols based on achieving various goals. However, the usefulness of these protocols in children has been demonstrated. The possibility of adhering to guidelines may vary depending on patients and facilities, so it is necessary to update the general aspects of initial care for children with sepsis.

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Recognizing septic shock is critical, as well as an optimal, time-sensitive treatment. Here we analyze the bundles used in the management of these patients, which are essential to improve the quality of care. Keywords: Patient care bundles; Pediatrics; Sepsis; Septic shock. This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard, Search History, and several other advanced features are temporarily unavailable.

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Full-text links Cite Favorites. Abstract in English , Spanish. Oliveira CF, et al. Pediatr Emerg Care. PMID: Davis AL, et al. Crit Care Med. Recommendations for the management of pediatric septic shock in the first hour part one. Kohn Loncarica G, et al.

Arch Argent Pediatr. PMID: Review. English, Spanish. Implementing ACCM critical care guidelines for septic shock management in a Cuban pediatric intensive care unit. Cartaya JM, et al. Early reversal of pediatric-neonatal septic shock by community physicians is associated with improved outcome.

Han YY, et al. Show more similar articles See all similar articles. Publication types Review Actions. MeSH terms Algorithms Actions. Child Actions. Child, Preschool Actions. Fluid Therapy Actions. Humans Actions. Infant Actions. Infant, Newborn Actions. Patient Care Bundles Actions. Practice Guidelines as Topic Actions. Resuscitation Actions. Time Factors Actions. Full-text links [x] Sociedad Argentina de Pediatria. Copy Download.


2017, Number 1

Key words:. The epidemiology of acute organ system dysfunction from severe sepsis outside of the intensive care unit. J Hosp Med [Internet]. Rev Child Pediatr [Internet].


Recommendations for the Management of Pediatric Septic Shock in the First Hour (Part One)

Despite recent therapeutic advances, mortality due to septic shock remains high. The most important causes of mortality are refractory shock, uncontrollable alterations of coagulation, and multiorgan failure. Some authors have proposed the early use of plasmafiltration and high flow hemodiafiltration for refractory septic shock. Most authors initiate treatment with a short session of plasmafiltration followed by continuous hemodiafiltration. A year-old girl presented refractory meningococcal septic shock, disseminated intravascular coagulation, and acute renal failure unresponsive to volume expansion and high doses of adrenalin and noradrenaline.

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