Keywords
How to Cite
Abstract
The present study is a narrative review of a critical and analytical nature, in research on the main concepts regarding Septic Shock (SC), in addition to management. Selecting articles between the periods of 2010 and 2023, in English, Spanish and Portuguese, to increase the level of relevance and quality of the review, in addition to the technical-scientific basis coming from literary works renowned in history. Adding up all the databases, 771 articles were found. These are 481 in the PubMed database, 275 articles in the Ministry of Health's Virtual Health Library (VHL) and 15 articles in the Directory of Open Access Journals (DOAJ) database. Hypoperfusion, CD and increased peripheral vascular resistance, systemic arterial hypotension, fever, tachypnea, mental confusion are some signs of sepsis. When these signs are exacerbated, persistent hypotension after fluid resuscitation or there is a need to use vasoactive drugs, it is called CS, a typical classic of distributive shock. These signs lead to generalized hypoxia, triggering the anaerobic pathway and producing large amounts of lactate, another characteristic factor of the condition. However, in critical bedside scenarios, changes such as: filiform pulse, oliguria, cold and clammy skin, cyanosis, mental confusion and tachypnea may indicate a clinical picture of this disease. Therefore, as it is an extremely complex state, all systems are affected, including macro and microscopic changes in hemodynamic areas. Therefore, signs such as: blood flow to organs and signs of hypoxemia should be observed, in addition to clinical predictors of mortality. Therefore, health professionals need to be trained to identify and manage CS, in addition, to customize multidisciplinary protocols to assist in the survival of these individuals.
References
AZEVEDO, Luciano Cesar Pontes et al. A sepse é um grave problema de saúde na América Latina: uma chamada à ação!. Revista Brasileira de Terapia Intensiva, v. 30, p. 402-404, 2018.
BILRO, Maria Miguel; LEITE, Luís; MARQUES, Maria Céu. INTERVENÇÕES ESPECIALIZADAS À PESSOA EM SITUAÇÃO CRÍTICA EM CHOQUE SÉPTICO: REVISÃO SISTEMÁTICA DA LITERATURA. Revista Ibero-Americana de Saúde e Envelhecimento, v. 7, n. 3, p. 438-459, 2022.
CARVALHO, Renan Henrique de et al. Sepse, sepse grave e choque séptico: aspectos clínicos, epidemiológicos e prognóstico em pacientes de Unidade de Terapia Intensiva de um Hospital Universitário. Revista da Sociedade Brasileira de Medicina Tropical, v. 43, p. 591-593, 2010.
ESCOBAR, Jorge Sebastián; ORTÍZ-TORRES, Sara Ester; VILLALBA-VIANA, Rocío Magalí. Factores asociados a la mortalidad en pacientes con sepsis y choque séptico de la unidad de cuidados intensivos de adultos de un hospital de Paraguay. Revista Virtual de la Sociedad Paraguaya de Medicina Interna, v. 8, n. 2, p. 44-56, 2021.
EVANS, Laura et al. Surviving sepsis campaign: international guidelines for management of sepsis and septic shock 2021. Critical care medicine, v. 49, n. 11, p. e1063-e1143, 2021.
GATTI, Júlia Domingues et al. Avaliação da hiperlactatemia em pacientes com diagnóstico de choque séptico. Revista Eletrônica Acervo Saúde, v. 13, n. 8, p. e8507-e8507, 2021.
GONZÁLEZ, Eduardo Alberto et al. Factores asociados con la mortalidad en el adulto mayor con choque séptico. Medicina crítica (Colegio Mexicano de Medicina Crítica), v. 34, n. 2, p. 125-132, 2020.
KATTAN, Eduardo et al. Ressuscitação direcionada ao tempo de enchimento capilar baseada em fenótipo hemodinâmico no choque séptico precoce: protocolo de estudo do ensaio clínico randomizado ANDROMEDA-SHOCK-2. Revista Brasileira de terapia intensiva, v. 34, p. 96-106, 2022.
LOHN, Arilene et al. Registros de enfermagem e médicos sobre pacientes com sepse ou choque séptico em emergência hospitalar. Revista de Enfermagem da UFSM, v. 12, p. e59-e59, 2022.
MACHADO, Flavia Ribeiro et al. Chegando a um consenso: vantagens e desvantagens do Sepsis 3 considerando países de recursos limitados. Revista brasileira de terapia intensiva, v. 28, p. 361-365, 2016.
MENDES, Viviane Rodrigues et al. Os principais cuidados de enfermagem ao paciente em ambiente intra-hospitalar com choque séptico. Facit Business and Technology Journal, v. 1, n. 26, 2021.
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2024 Luiz Felipe Neves Frazão, Pedro Henrique de Souza Lopes , Sabrinna Rodrigues Santos , Tayrone Ferreira do Vale Filho , Paulo Roberto Ferreira Filho, Layanne Pereira da Costa Bitencourt , João Marcos Guimarães de Oliveira , Luíza de Jesus Chehab, William Gomes da Silva , Ketlen Kellen Silva, João Lucas Benicio Ramos, Giovanna Ganley Zimmermann Schweitzer , Rayane Cristina Silva Paiva , Lucas Franco Ferreira