SEPTIC SHOCK Essay Example | Topics and Well Written Essays - 2500 words

SEPTIC SHOCK - Essay precedentThe objective of these definitions was to give a more differentiated understanding of sepsis to enable precise management. As a result the concept of systemic inflammatory response syndrome (SIRS) evolved with its diagnostic criteria put in place. Then sepsis was specify on the basis of SIRS, whereby sepsis was delimit as suspected or microbiologically proven infection together with SIRS. disgustful sepsis was then defined as sepsis together with sepsis-induced organ dysfunction. Finally septic shock was defined as sepsis-induced hypotension persisting despite adequate fluid resuscitation (Marik & Lipman, 2007).A very valid question arises as to the need for such differentiated definitions. There is justification for these differentiated definitions, which is provided from the study of recent data on the mortality rates associated with each of these differentiated definitions. Mortality from sepsis ranges ten to fifteen percent inexorable sepsis ran ges from seventeen to twenty percent and septic shock ranges from forty-three to fifty-four percent. Thus the gradable definitions get justify by this. (Marik & Lipman, 2007).Deeper examination of this data suggests that there is a wide difference in the mortality figures for severe sepsis and septic shock. This finding clearly indicates that it is most important to distinguish between severe sepsis and septic shock, so that they can be grouped into low and high mortality risk groups. It is in this aspect that the hierarchical definitions as created in 1991 are found to be deficient. The diagnostic criteria for septic shock still stay unclear and vague. To remove this deficiency Marik and Lipman, 2007, suggest that septic shock be defined as a systolic blood compel less than 90mmHg (or a fall in systolic blood pressure of 40mmHg), or a mean arterial pressure less than 65mmHg after a crystalloid fluid altercate of