Optimization of Sepsis Treatment in Intensive Care Units: Integrated Approach between Internal Medicine and Critical Care
DOI:
https://doi.org/10.55204/trc.v3i2.e259Keywords:
Sepsis, Comprehensive Clinical Assessment, Personalized Management, Internal Medicine, BiomarkersAbstract
Introduction: The effective integration between Internal Medicine and Critical Care is crucial to optimize sepsis treatment in Intensive Care Units. This article addresses the pressing need for a collaborative approach that combines the chronic perspective of Internal Medicine with the acute focus of Critical Care. From early identification and precise risk stratification to the dynamic adaptation of therapeutic interventions, this convergence enhances patient care and reduces morbidity and mortality.
Development: This article examines the essential synergy between Internal Medicine and Critical Care in managing sepsis in Intensive Care Units. We highlight early identification and precise risk stratification, merging chronic assessment with acute response. Collaboration enhances the dynamic adaptation of therapeutic interventions, reducing morbidity and mortality.
Conclusions: The effective convergence between Internal Medicine and Critical Care enhances early identification and stratification of sepsis patients, optimizing therapeutic strategies and reducing morbidity and mortality. The need for continuous education and interdisciplinary collaboration is emphasized, opening future perspectives for practical applications and innovative research avenues.
Downloads
References
Rivers E, Nguyen B, Havstad S, et al. Early goal-directed therapy in the treatment of severe sepsis and septic shock. N Engl J Med. 2001;345(19):1368-1377.
Seymour CW, Kennedy JN, Wang S, et al. Derivation, validation, and potential treatment implications of novel clinical phenotypes for sepsis. JAMA. 2019;321(20):2003-2017.
Vincent JL, Moreno R, Takala J, et al. The SOFA (Sepsis-related Organ Failure Assessment) score to describe organ dysfunction/failure. Intensive Care Med. 1996;22(7):707-710.
Singer M, Deutschman CS, Seymour CW, et al. The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3). JAMA. 2016;315(8):801-810.
Dellinger RP, Levy MM, Rhodes A, et al. Surviving sepsis campaign: international guidelines for management of severe sepsis and septic shock: 2012. Crit Care Med. 2013;41(2):580-637.
Rhodes A, Evans LE, Alhazzani W, et al. Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock: 2016. Intensive Care Med. 2017;43(3):304-377.
Cecconi M, De Backer D, Antonelli M, et al. Consensus on circulatory shock and hemodynamic monitoring. Task force of the European Society of Intensive Care Medicine. Intensive Care Med. 2014;40(12):1795-1815.
Levy MM, Evans LE, Rhodes A. The Surviving Sepsis Campaign Bundle: 2018 update. Intensive Care Med. 2018;44(6):925-928.
Hotchkiss RS, Moldawer LL, Opal SM, Reinhart K, Turnbull IR, Vincent JL. Sepsis and septic shock. Nat Rev Dis Primers. 2016;2:16045.
Angus DC, van der Poll T. Severe sepsis and septic shock. N Engl J Med. 2013;369(9):840-851.
Downloads
Published
Issue
Section
License
Copyright (c) 2023 Myriam Lisseth García Vinueza, Karen Esthefanny Medina Gavidia, Vicente Andrés Alvarado Ávila, Victoria Maribel Caiza Chasi, Nube Katherine Chacha González, Enrique Alfonso Duran Mardini, Milton Sebastian Jaramillo Carrillo
This work is licensed under a Creative Commons Attribution 4.0 International License.
The authors retain the moral and patrimonial rights of their works. They only give to the magazine Tesla Revista Científica the right to the first publication of this. Since Tesla Revista Científica is an open access publication, readers can fully or partially reproduce its content as long as they properly credit the corresponding authors and the journal itself. Tesla Revista Científica undertakes not to make commercial use of the texts it receives and/or publishes.
Our journal is governed by the international policies SHERPA/RoMEO: Green journal: They allow the self-archiving of both the pre-print (draft of a paper) and the post-print (the version corrected and reviewed by peers) and even the final version ( layout as it will be published in the journal).
See also "Copyright and licences".
