Sepsis in the Interventional Radiology Patient
Section snippets
Diagnosing the Septic Patient in the Interventional Suite
Before embarking on the treatment of the septic patient, one must be certain the patient is in fact becoming septic. To that end, one must exclude other causes for the patient’s presentation, in particular, drug reactions, before considering an infectious etiology. The earliest signs and symptoms leading to the diagnosis of sepsis are fever and chills. Fever is defined as a body temperature of >38°C and is the most common sign of sepsis. Interestingly, hypothermia, defined as a body temperature
Managing the Septic Patient in the Interventional Suite
There are a number of excellent publications regarding the treatment of sepsis.20, 21, 22 Although most of these focus on patients in the emergency department or in critical care units, the philosophy is of course the same. There are three central principles to managing sepsis regardless of where the patient is located:
Controlling the source of infection
Administration of appropriate systemic antimicrobial therapy
Volume resuscitation and cardiopulmonary support
Managing the patient in the
Summary
Dealing with the acutely septic patient in interventional radiology can be frightening for both the patient as well as the radiological team. The keys to treating these patients in interventional radiology are to identify those at risk, to understand the basic treatment principles, and to have instigated plans regarding patient care before the acute event. We have attempted to outline these factors in this review and hope this provides a framework for the care of these patients.
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