Management of Septic Shock
Steven M. Yabek MD, FAAP1
1 Associate Professor of Pediatrics (Cardiology) and Surgery, University of New Mexico School of Medicine, Albuquerque
The mortality among children with septic shock continues to be unacceptably high. Timely diagnosis and the use of appropriate monitoring and therapeutic modalities should help reverse this trend. The important areas of management include treating the underlying infection, ensuring adequate ventilation, restoring and maintaining acid-base and electrolyte balance, and the restoration of normal hemodynamics and organ perfusion by judicious use of plasma volume expanders and inotropic/vasoactive agents such as dopamine.