Cara Sépsis-3, Lamentamos Dizer-lho, Mas Não Gostamos de Si

Autores

  • António H. Carneiro Departamento de Medicina, UCI e Urgência, Hospital da Luz Arrábida – Luz Saúde, Vila Nova de Gaia, Portugal
  • J. Andrade-Gomes Unidade de Cuidados Intensivos, Hospital da Luz – Luz Saúde, Lisboa, Portugal
  • P. Póvoa 1. Unidade de Cuidados Intensivos Polivalente, Centro Hospitalar de Lisboa Ocidental, Hospital de São Francisco Xavier, Lisboa, Portugal 2.NOVA Medical School/Faculdade de Ciências Médicas, Universidade NOVA de Lisboa, Lisboa, Portugal

DOI:

https://doi.org/10.24950/rspmi.846

Palavras-chave:

Choque Séptico, Consenso, Sépsis, Síndrome de Resposta Inflamatória Sistémica

Resumo

Os autores analisam as recentes propostas de alteração das
definições de sépsis e de choque séptico, publicadas na
JAMA e exprimem os seuspontos de vista preocupados com
as propostas da task force da Sepsis-3 em seis questões fundamentais:
Discordam do divórcio do conceito e definição
de sépsis do de infeção, Discordam da eliminação do conceito
de systemic inflammatory response syndrome (SIRS) e
da supressão do conceito de SIRS associado a causas não
infeciosas; Discordam da utilização de definições diferentes
para doentes na Unidade de Cuidados Intensivos (UCI)
e fora da UCI; Discordam da escolha do sequential organ
failure assessment (SOFA) para definir sépsis; Discordam do
facto de as definições Sepsis-3 atrasarem o diagnóstico e
por consequência puderem comprometer o tratamento precoce
dos doentes com sépsis; Ficam surpreendidos por as
definições Sepsis-3 se não terem associado às revisões das
recomendações Surviving Sepsis Campaign, que se esperam
para 2016.

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Referências

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Publicado

30-12-2016

Como Citar

1.
Carneiro AH, Andrade-Gomes J, Póvoa P. Cara Sépsis-3, Lamentamos Dizer-lho, Mas Não Gostamos de Si. RPMI [Internet]. 30 de Dezembro de 2016 [citado 7 de Dezembro de 2022];23(4):56-60. Disponível em: https://revista.spmi.pt/index.php/rpmi/article/view/846

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