Slovenská chirurgia 1/2018
Konsenzus chirurga a intenzivistu v manažmente kriticky chorého pacienta s brušnou sepsou
Consensus of surgeon and intensivist in managing critically ill patient with abdominal sepsis
Intraabdominal infections are one of the most common causes of patient hospitalization in the Surgical Intensive Care Unit (ICU). Nearly 30% of patients with developed abdominal sepsis can cure their disease, with mortality reaching up to 50% for complications associated with repeated surgical interventions correlating with multiorgan failure (MOF). With the increase in the middle age of the population, a number of comorbid and immunocompromised patients are requiring surgical intervention. These patients are often at risk of nosocomial infections, whose agents have higher virulence and are less sensitive to antimicrobial therapy. Early identification of the warning symptoms of developing septic shock (SOFA, qSOFA criteria), quick diagnosis with correctly indicated surgical intervention and adequate post-operative care are considered to be the most factors in preventing the failure of important organ systems. Prognostically significantly increase the patient‘s chance of survival. In this paper, we emphasize the necessity of an effective and constructive interdisciplinary cooperation between surgeon and anesthesiologist in the management of complex treatment of a critically ill patient with abdominal sepsis.
Keywords: abdominal sepsis, immunocompromised patient, septic shock, consensus
