Cara Sépsis-3, Lamentamos Dizer-lho, Mas Não Gostamos de Si
DOI:
https://doi.org/10.24950/rspmi.846Palavras-chave:
Choque Séptico, Consenso, Sépsis, Síndrome de Resposta Inflamatória SistémicaResumo
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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Direitos de Autor (c) 2016 Medicina Interna
Este trabalho encontra-se publicado com a Licença Internacional Creative Commons Atribuição 4.0.
Direitos de Autor (c) 2023 Medicina Interna
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