Іnfusion-transfusion therapy and inotropic support in patients with sepsis

Keywords: іnfusion-transfusion therapy; sepsis; diabetic foot syndrome.

Abstract

Objective. Conduction of retrospective and prospective analysis of the final results of treatment in patients, suffering sepsis on background of complicated diabetic foot syndrome (DFS).

Маterials and methods. The results of treatment of 938 patients, suffering complicated DFS, were investigated retrospectively. In 92 (9.8%) patients the disease was complicated by sepsis. All the patients were divided into two Groups: Group I - 724 (77.2%) patients, suffering complicated DFS and sepsis, who were treated in accordance to decision of The Cosensus Conference; Group II - 214 (22.8%) patients, who were treated in 2016 - 2018 yrs in accordance to Guidelines «Sepsis-3».

Results. Comparative analysis of the treatment results has been shown, that administration of intensive therapy and inotropic support in accordance to Guidelines «Sepsis-3» gives possibility to stabilize the patients’ state and to prepare them for operative intervention.

Conclusion. Results of diagnosis of sepsis in accordance to new bed-side clinical index quick Sequential Organ Failure Assessment (qSOFA) and performance of Guidelines «Sepsis-3» in the intensive therapy conduction are hopeful, but the need for further detailed analysis of clinical data is present.

Author Biographies

S. D. Shapoval, Zaporizhzhya Medical Academy of Postgraduate Education

Shapoval S. D., MD, PhD, Full Professor, First Pro-rector for scientific-pedagogical work, Zaporizhzhia Medical Academy of Postпraduate Education
BoulevardWinter 20, Zaporoizhzhia, Ukraine 69096,
tel.279-02-45,
е- mail shapoval.s.d@gmail.com
http://orcid.org/0000-0001-8516-9494.

S. M. Gritsenko, Zaporizhzhya Medical Academy of Postgraduate Education

Gritsenko S.M. MD, PhD, Full Professor,
Head of the Department of Anesthesiology and Intensive
Zaporizhzhia Medical Academy of Postпraduate Education
BoulevardWinter 20, Zaporoizhzhia, Ukraine 69096,
tel.766-34-33,
е- mail gritsenko45@gmail.com
http://orcid.org/0000-0001-6391-8300

O. V. Tribushnyi, Zaporizhzhya Medical Academy of Postgraduate Education

Tribushnyi O. V., MD, PhD, Associate Professor, Deсan of Surgical Faculty
Zaporizhzhia Medical Academy of Postпraduate Education
BoulevardWinter 20, Zaporoizhzhia, Ukraine 69096,
tel.279-05-27,
е- mail tribushnoy.o.v@gmail.com,
http://orcid.org/0000-0002-9298-2624

I. L. Savon, Zaporizhzhya Medical Academy of Postgraduate Education

Savon I. L., MD, PhD, Associate Professor,
Head of the Department of Outpatient, Purulent-septic Surgery and Ultrasonography,
Zaporizhzhia Medical Academy of Postпraduate Education
Boulevard Winter 20, Zaporoizhzhia, Ukraine 69096,
е-mail konsilium@ukr.net
http://orcid.org/0000-0001-8038-3731

References

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Published
2018-07-26
How to Cite
Shapoval, S. D., Gritsenko, S. M., Tribushnyi, O. V., & Savon, I. L. (2018). Іnfusion-transfusion therapy and inotropic support in patients with sepsis. Klinicheskaia Khirurgiia, 85(6), 44-46. https://doi.org/10.26779/2522-1396.2018.06.44
Section
General Problems of Surgery