Guidelines for the Management of Septic Shock and Sepsis-Associated Organ Dysfunction in Children

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sepsis

A large cohort of international experts was able to achieve consensus regarding many recommendations for the best care of children with sepsis, acknowledging that most aspects of care had relatively low quality of evidence resulting in the frequent issuance of weak recommendations.

Despite this challenge, these recommendations regarding the management of children with septic shock and other sepsis-associated organ dysfunction provide a foundation for consistent care to improve outcomes and inform future research.

The panel provided 77 statements on the management and resuscitation of children with septic shock and other sepsis-associated organ dysfunction.

Overall, 6 were strong recommendations, 52 were weak recommendations, and nine were best-practice statements.

The panel consisted of six subgroups: recognition and management of infection, hemodynamics and resuscitation, ventilation, endocrine and metabolic therapies, adjunctive therapies, and research priorities.

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