Sepsis management and the pediatric surgeon

Semin Pediatr Surg. 2019 Feb;28(1):67-72. doi: 10.1053/j.sempedsurg.2019.01.012. Epub 2019 Jan 18.

Abstract

Sepsis is a life-threatening condition that requires aggressive, timely, and multi-disciplinary care. Understanding the changes in national guidelines regarding definitions, diagnosis and the management of pediatric sepsis is critical for the pediatric surgeon participating in the care of these patients. The purpose of this article is to review the essential steps for the timely management of pediatric sepsis, including fluid resuscitation, antibiotics, vasopressors, and steroids. This includes a description of the key adjunct modalities of treatment, including renal replacement therapy and extracorporeal life support (ECLS).

Keywords: Antibiotics; Bundled care; Fluid resuscitation; Sepsis; Source control.

Publication types

  • Review

MeSH terms

  • Anti-Infective Agents / therapeutic use
  • Child
  • Combined Modality Therapy
  • Humans
  • Pediatrics*
  • Physician's Role*
  • Resuscitation / methods
  • Sepsis / diagnosis
  • Sepsis / etiology
  • Sepsis / therapy*
  • Specialties, Surgical*
  • Surgeons*

Substances

  • Anti-Infective Agents