Titlebook: Sepsis Management in Resource-limited Settings; Arjen M. Dondorp,Martin W. Dünser,Marcus J. Schult Book‘‘‘‘‘‘‘‘ 2019 The Editor(s) (if app

指耕作

Pediatric Sepsis and Septic Shock Management in Resource-Limited Settings,ification of severe sepsis through a combination of danger signs of end-organ dysfunction or impaired circulation is vital to improve outcome. Better scoring systems for risk stratification tailored for resource-poor settings are needed. Rapid vascular access is critical, and we suggest that in chil

Condyle

Current Challenges in the Management of Sepsis in ICUs in Resource-Poor Settings and Suggestions fo are differences in ICU capacities around the world; not surprisingly the lowest capacities are found in LMICs with important heterogeneity within individual LMICs. Although many aspects of sepsis management developed in resource-rich countries are applicable in LMICs, implementation requires strong

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潜伏期

Recognition of Sepsis in Resource-Limited Settings, from the suspected source of infection should be performed. Empirical antibiotic therapy should be informed considering local antimicrobial resistance patterns, and if available follow-on antibiotic therapy should be guided by the antibiotic susceptibility of cultured bacteria. Malaria is diagnosed

一再困扰

Core Elements of General Supportive Care for Patients with Sepsis and Septic Shock in Resource-Limi for stress ulcer prophylaxis in resource-limited ICUs and can be delivered feasibly and safely. Critical illness-associated hyperglycemia is common, and short-acting insulin is widely available and inexpensive. However, stringent blood glucose control is not recommended, since this is dangerous in

陈旧

Ventilatory Support of Patients with Sepsis or Septic Shock in Resource-Limited Settings,atients with moderate or severe ARDS. In addition, low FiO. and low oxygenation goals are suggested, using PEEP/FiO. tables. Recruitment maneuvers are indicated in refractory hypoxia, but require experienced staff. Low tidal volumes (5–7 ml/kg predicted body weight, avoiding >10 ml/kg) are recommend

Dawdle

Hemodynamic Assessment and Support in Sepsis and Septic Shock in Resource-Limited Settings,asopressors and suggest starting a vasopressor in patients with persistent hypotension after initial fluid resuscitation with at least 30 ml/kg, but earlier when there is lack of access to mechanical ventilation, and recommend using norepinephrine (noradrenaline) as first-line vasopressor. We sugges

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Definitive

Pediatric Sepsis and Septic Shock Management in Resource-Limited Settings,ho show signs of severely impaired circulation, we . careful administration of 10–15 mL/kg of crystalloids over 30–60 min. We recommend incorporation of protocols for timely antibiotic administration, oxygen and respiratory support, and fluid management. We recommend blood transfusion in children wi