The Strategy of the Management of Hypovolemia in Children with Severe Sepsis and Septic Shock

O.V. Filyk

Abstract


The article analyzes the main factors influencing the choice of the volume and the qualitative composition of the liquid for volemic resuscitation in children with severe sepsis and septic shock. We have considered the physiology of water balance and excretory system in children of different age groups, analyzed the criteria of determining the sufficient level of fluid therapy for critical hypovolemia in resuscitation phases, optimization, stabilization and evacuation of fluid. Interstitial overload by fluid and critical hypoalbuminemia adversely affect the final outcome of medical care to children with severe sepsis and septic shock.


Keywords


fluid resuscitation; children; severe sepsis; albumin

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DOI: https://doi.org/10.22141/2224-0586.4.75.2016.75832

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