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Published on: June 15, 2019
Evidence-based updates to the 2021 Surviving Sepsis Campaign guidelines: Part 1: Background, pathophysiology, and
1Karen D. Lehman is a hospitalist NP and PRN ED NP at NMC Health in Newton, Kan., an ED NP with Docs Who Care based in Olathe, Kan., and a hospice NP with Harry Hynes Memorial Hospice in Wichita, Kan.
Sepsis management has evolved, yet significant mortality persists. This review covers sepsis history, pathophysiology, and new research in treatment and recovery.
Area of Science:
- Critical Care Medicine
- Infectious Diseases
- Medical History
Background:
- Sepsis remains a major global health challenge with high morbidity and mortality rates.
- Despite advances in identification and treatment, outcomes for sepsis patients have not improved proportionally.
Purpose of the Study:
- To review the historical evolution of modern sepsis understanding and management.
- To present current research on sepsis pathophysiology, therapeutic interventions, and postsepsis care.
Main Methods:
- Literature review of historical sepsis definitions and diagnostic criteria.
- Synthesis of recent research findings on sepsis mechanisms and treatment strategies.
Main Results:
- Significant changes in sepsis identification and treatment over recent decades.
- Ongoing challenges in reducing sepsis-associated morbidity and mortality.
Conclusions:
- Understanding the history of sepsis is crucial for appreciating current research.
- New research in pathophysiology, treatment, and postsepsis care offers potential for improved patient outcomes.
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