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SIRS

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SIRS

  1. 1. SÍNDROME DE RESPUESTAINFLAMATORIA SISTEMICA
  2. 2. AntecedentesDr. William R. Nelson Noruega en febrero de 1983. GUIDELINE, Bone RC. Definitions for sepsis and organ failure and guidelines for the use of innovative therapies in sepsis. The ACCP/SCCAM Consensus Conference Commmittee. 1992
  3. 3. Antecedentes GUIDELINE, Bone RC. Definitions for sepsis and organ failure and guidelines for the use of innovative therapies in sepsis. The ACCP/SCCAM Consensus Conference Commmittee. 1992
  4. 4.  Body temperature less than 36°C or greater than 38°C Heart rate greater than 90 beats per minute Tachypnea (high respiratory rate), with greater than 20 breaths per minute; or, an arterial partial pressure of carbon dioxide less than 4.3 kPa (32 mmHg) White blood cell count less than 4000 cells/mm³ (4 x 109 cells/L) or greater than 12,000 cells/mm³ (12 x 109 cells/L); or the presence of greater than 10% immature neutrophils (band forms). GUIDELINE, Bone RC. Definitions for sepsis and organ failure and guidelines for the use of innovative therapies in sepsis. The ACCP/SCCAM Consensus Conference Commmittee. 1992
  5. 5. Preambulo Infección. Bacteremia. Sepsis. Choque septico. Rangel-Fausto MS. The natural history of the systemic inflammatory response syndrome (SIRS).A prospective study.JAMA 2005
  6. 6. Causas Heffner AC. Horton JM. Etiology of illness in patients with severe sepsis admitted to the hospital from the emergenncy department. Clinc infect. March 2010
  7. 7. EpidemiologiaRangel-Fausto UCI 68%. 26% sepsis. 4-8% choque septico. Angus DC. Linde-Zwirble WT. Epidemiology of severe sepsis in the United States: Analysis of incidence, outcome, and associated costs of care. Crit care Med . 2001 Rangel-Fausto MS. The natural history of the systemic inflammatory response syndrome (SIRS).A prospective study.JAMA 2005
  8. 8. Fisiopatologia
  9. 9. Presentacion Historia clinica Comstedt P. The systemic Inflammatory response Syndrome in acutely hospitalised medical patients.Emerd Med . Dec 2010 Comstedt P. The systemic Inflammatory response Syndrome in acutely hospitalised medical patients.Emerd Med . Dec 2010
  10. 10. Presentacion Examen fisico. Revision cuidadosa de los signos. Comstedt P. The systemic Inflammatory response Syndrome in acutely hospitalised medical patients.Emerd Med . Dec 2010
  11. 11. Presentacion Comstedt P. The systemic Inflammatory response Syndrome in acutely hospitalised medical patients.Emerd Med . Dec 2010
  12. 12. Complicaciones Falla respiratoria, síndrome de insuficiencia respiratoria aguda (ARDS), y neumonía nosocomial. Fallo renal. Sangrado gastrointestinal y gastritis de stress. Anemia. TVP. Desequilibrio hidroelectrolitico. Coagulación intravascular diseminada. Rangel-Fausto MS. The natural history of the systemic inflammatory response syndrome (SIRS).A prospective study.JAMA 2005
  13. 13. Educacion
  14. 14. Pronostico Las tazas de mortalidad mencionadas por Rangel-Faus study fueron de 7% (SIRS), 16% (sepsis), y 46% (choque septico).Los pacientes hospitalizados con SIRSpresentan una taza de mortalidad de 6.8mayor a los que no padecen.Angus DC. Linde-Zwirble WT. Epidemiology of severe sepsis in the United States: Analysis of incidence,outcome, and associated costs of care. Crit care Med . 200Rangel-Fausto MS. The natural history of the systemic inflammatory response syndrome (SIRS).A prospectivestudy.JAMA 20051

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