2015, Number 4
An Med Asoc Med Hosp ABC 2015; 60 (4)
Sánchez DJS, Monares ZE, Rodríguez ZC, Díaz EA
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ABSTRACTIntroduction: Hemodynamic instability is defined as a shock index (heart rate/systolic) › 0.8, especially against a lactate › 2 mmol/L. 62% of the septic patients have this index › 0.8. Objective: This paper aims to make a narrative review of the literature on resuscitation protocols in septic shock. Method: Two authors (AD, CR) conducted the search in the following databases: PubMed, Ovid, HINARI, Cochrane, with the key words: septic shock, treatment, protocols. Two authors (SS, MS) selected abstracts for examination in full text and making the first summary. The final text was reviewed by the four authors. Results: A total of 117 articles which were examined in summary form; in the second review, 80 articles were selected in complete format for this work. The final bibliography is limited to articles representative of the concepts outlined. Conclusions: Adequate resuscitation of septic shock is the correct maneuver performed at the right time. The steps of resuscitation are save, optimize, endure and deescalate. Resuscitation must be guided by objectives and these must meet a specific goal.