Open AccessSepsis: source control
Author(s) -
В. В. Кулабухов,
Н А Зубарева,
P. A. Yartsev
Publication year - 2021
Publication title -
vestnik anesteziologii i reanimatologii
Language(s) - English
Resource type - Journals
eISSN - 2541-8653
pISSN - 2078-5658
DOI - 10.21292/2078-5658-2021-18-5-89-96
Subject(s) - sepsis , intensive care medicine , medicine , septic shock , debridement (dental) , organ dysfunction , shock (circulatory) , intervention (counseling) , clinical trial , antibiotics , surgery , biology , psychiatry , microbiology and biotechnology
Sepsis is a life-threatening condition, which is manifested by the development of organ dysfunction due to generalized inammation caused by the infection of various nature. Timely lesion debridement combined with adequate antibiotic therapy are important components of the successful treatment of sepsis. At the moment, there is no consensus about the volume and time of intervention in the development of surgical sepsis. The article discusses modern approaches to solving the problem of adequate sanitation of the source of infection. The results of few randomized trials in this area are presented. Source control is absolutely essential for the successful treatment of sepsis. However, it is difcult to create a unifed algorithm for surgical control for all cases due to dierent approaches depending on the infection location. Properly designed clinical trials are necessary to determine the optimal timing of surgery for sepsis and septic shock as least.