Care of the pediatric patient with septic shock demands critical appraisal of numerous clinical and laboratory findings. Many vital decision points commonly are encountered during the course of each patient's disease. The aim of this article is to discuss each major decision point in the diagnosis and treatment of pediatric septic shock encountered by the bedside physician with respect to the current medical literature. Decision points reviewed include identification of epidemiological factors; choice of antimicrobial therapy; interpretation of hemodynamic pathophysiology; decision to initiate and the interpretation of invasive monitoring; and therapies for fluid resuscitation, pharmacological support of the circulation, and immunomodulation. Copyright (C) 2000 by W.B. Saunders Company.
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
- Microbiology (medical)