RESEARCH ARTICLE


Septic Shock



John S. Giuliano Jr.*
Yale University School of Medicine, 333 Cedar Street, P.O. Box 208064, New Haven, CT 06520- 8064, USA.


© 2013 John S. Giuliano Jr.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Yale University School of Medicine, 333 Cedar Street, P.O. Box 208064, New Haven, CT 06520- 8064, USA; Tel: 203-785-4651; Fax: 203-785-5833; E-mail: john.giuliano@yale.edu


Abstract

Pediatric severe sepsis and septic shock continue to be significant causes of childhood morbidity and mortality worldwide. The following review will highlight some of the controversies surrounding the consensus definitions. It will chronicle recent clinical and translational research, focusing on pediatric sepsis-specific challenges investigators face. It will also address the pathophysiology of severe sepsis and septic shock, including up-to-date therapeutic recommendations.

Keywords: Pediatrics, children, PIRO, pathophysiology, therapy.