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Acta medica Croatica : Časopis Akademije medicinskih znanosti Hrvatske, Vol. 69 No. 3, 2015.

Review article

SEPSIS IN SURGICAL PATIENT

DENIS GUŠTIN ; Merkur University Hospital, Department of Anesthesiology, Resuscitation and Intensive Care, Zagreb, Croatia

Full text: croatian pdf 92 Kb

page 161-165

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Abstract

Epidemiological studies indicate a large incidence of sepsis in the general population. Despite advances in surgery, surgical
patients with sepsis make almost one-third of all cases of sepsis. Sepsis is the leading cause of morbidity and mortality among
surgical patients, with intra-abdominal infection as the main source of sepsis. According to some authors, sepsis in surgical patients is different from those in non-surgical patients because of the immune function modulation that occurs as a result of surgery and anesthesia applied; therefore, these two groups should be monitored separately. In the treatment of sepsis, the key steps are early recognition of sepsis, rapid diagnosis, and aggressive treatment that includes the choice of intervention with the least physiological insult to control the sources of infection. Emphasis should be placed on the prevention of sepsis throughout the perioperative period. In surgical septic patients, treatment is complex and requires a multidisciplinary approach.

Keywords

sepsis; surgical patients

Hrčak ID:

151875

URI

https://hrcak.srce.hr/151875

Publication date:

27.1.2016.

Article data in other languages: croatian

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