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Báo cáo y học: " Recently published papers: Sepsis, glucose control and patient–doctor relationship"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Recently published papers: Sepsis, glucose control and patient–doctor relationships. | Available online http ccforum.eom content 12 1 112 Commentary Recently published papers Sepsis glucose control and patient-doctor relationships Christopher Bouch and Gareth Williams University Hospitals of Leicester Leicester Royal Infirmary Leicester LE1 5WW UK Corresponding author Gareth Williams gareth.williams@uhl-tr.nhs.uk Published 1 February 2008 This article is online at http ccforum.com content 12 1 112 2008 BioMed Central Ltd Critical Care 2008 12 112 doi 10.1186 cc6769 Abstract Sepsis is the leading cause of admission to critical care units worldwide with increasing research and publications reflecting this. Tight control of the blood glucose concentration can reduce morbidity and mortality but the obtained values can be influenced by the method of measurement. Increasing awareness of interactions with patients and relatives can make or break relationships between staff and patients families. Severe sepsis and septic shock are significant health problems accounting for one in four deaths around the world per year. Target management for this unique group of critically ill patients has been based on the Surviving Sepsis Campaign guidelines of 2004 however over the short period of time since their publication a number of issues have changed in the management of this condition. January 2008 reveals the publication in Critical Care Medicine of the updated international guidelines on the management of severe sepsis and septic shock 1 . This publication is essential reading for all who are involved in recognising and managing patients with sepsis. The updated publication follows the format of the previous 2004 guidelines. All recommendations are agreed by an international group of experts who represent 11 organisations and used a structured system to rate the quality of evidence and grade the strength of recommendations in clinical practice. There is no space to review all the new recommendations in this paper here - but most aspects remain as per the 2004 .