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Description and Etiology

Dalam dokumen Assessment and Diagnosis (Halaman 115-130)

MODS results from progressive physiologic failure of two or  more separate organ systems in an acutely ill patient such that  homeostasis  cannot  be  maintained  without  intervention.86  MODS  is  the  major  cause  of  death  in  patients  cared  for  in 

FIG 26-7 Evaluation for Severe Sepsis Screening Tool. (Redrawn from the Institute for Health-care Improvement, Cambridge, MA. Copyright 2005 Surviving Sepsis Campaign and the Institute for Healthcare Improvement.)

Instructions: Use this optional tool to screen patients for severe sepsis in the emergency department, on the wards, or in the ICU.

1. Is the patient’s history suggestive of a new infection?

Pneumonia, empyema Urinary tract infection Acute abdominal infection Meningitis

Skin/soft tissue infection

Bone/joint infection Wound infection Bloodstream catheter infection

Endocarditis

Implantable device infection

Other ____________

___ Yes ___ No 2. Are any two of the following signs & symptoms of infection both present and new to the patient? Note:

laboratory values may have been obtained for inpatients but may not be available for outpatients.

If the answer is yes to both either question 1 and 2, suspicion of infection is present:

Hyperthermia  38.3° C (101.0° F)

Hypothermia  36° C (96.8° F)

Tachycardia  90 bpm

Obtain: lactic acid, blood cultures, CBC with differential, basic chemistry labs, bilirubin.

At the physician’s discretion obtain: UA, chest x-ray, amylase, lipase, ABG, CRP, CT scan.

Tachypnea  20 bpm Acutely altered mental status

Leukocytosis (WBC count

12,000 mcg-1)

Leukopenia (WBC count

 4000 mcg-1) Hyperglycemia (plasma glucose 120 mg/dL) in the absence of diabetes ___ Yes ___ No

3.

If suspicion of infection is present AND organ dysfunction is present, the patient meets the criteria for SEVERE SEPSIS and should be entered into the severe sepsis protocol.

Are any of the following organ dysfunction criteria present at a site remote from the site of the infection that are not considered to be chronic conditions? Note: the remote site stipulation is waived in the case of bilateral pulmonary infiltrates.

SBP  90 mm Hg or MAP  65 mm Hg SBP decrease  40 mm Hg from baseline

Bilateral pulmonary infiltrates with a new (or increased) oxygen requirement to maintain SpO2  90%

Bilateral pulmonary inflitrates with PaO2/FiO2 ratio  300

Creatinine  2.0 mg/dL (176.8 mmol/L) or Urine Output  0.5 mL/kg/hour for  2 hours Bilirubin  2 mg/dL (34.2 mmol/L)

Platelet count  100,000

Coagulopathy (INR  1.5 or aPTT  60 secs) Lactate  2 mmol/L (18.0 mg/dL)

Date: ___/___/___ (circle: dd/mm/yy or mm/dd/yy) Version 7.12.2005

Time: ___:___ (24 hr. clock)

© 2005 Surviving Sepsis Campaign and the Institute for Healthcare Improvement ___ Yes ___ No

Evaluation for Severe Sepsis Screening Tool

Trauma patients are particularly vulnerable to developing  MODS because they often experience ischemia-reperfusion  events  resulting  from  hemorrhage,  blunt  trauma,  or  SNS-induced vasoconstriction.125 Other high-risk patients include  those  who  have  experienced  infection,  a  shock  episode,  various  ischemia-reperfusion  events,  acute  pancreatitis,  sepsis, burns, aspiration, multiple blood transfusions, or sur-gical  complications.86  Patients  age  65  years  or  older  are  at  increased risk because of their decreased organ reserve and  comorbidities.126

Organ dysfunction may be the direct consequence of an  initial insult (Primary MODS) or can manifest latently and  involve  organs  not  directly  affected  in  the  initial  insult   (Secondary  MODS).  Patients  can  experience  both  Primary  and Secondary MODS (Figure 26-8).

Primary MODS results from a well-defined insult in which  organ  dysfunction  occurs  early  and  is  directly  attributed   to  the  insult  itself.  Direct  insults  initially  cause  localized  BOX 26-19 NURSING DIAGNOSIS

PRIORITIES

• Deficient Fluid Volume related to relative loss, p. 584

• Decreased Cardiac Output related to alterations in preload, p. 579

• Decreased Cardiac Output related to alterations in contrac-tility, p. 580

• Impaired Gas Exchange related to ventilation/perfusion mismatching or intrapulmonary shunting, p. 594

• Imbalanced Nutrition: Less Than Body Requirements related to increased metabolic demands or lack of exoge-nous nutrients, p. 593

• Anxiety related to threat to biologic, psychologic, or social integrity, p. 576

Septic Shock

A. Initial Resuscitation

1. Protocolized, quantitative resuscitation of patients with sepsis-induced tissue hypoperfusion. Goals during first 6 hrs of resuscitation:

a) Central venous pressure 8-12 mm Hg b) Mean arterial pressure (MAP) ≥ 65 mm Hg c) Urine output ≥ 0.5 mL/kg/hr

d) Central venous (superior vena cava) or mixed venous oxygen saturation 70% or 65%, respectively (grade 1C).

2. In patients with elevated lactate levels, targeting resus-citation to normalize lactate (grade 2C).

B. Screening for Sepsis and Performance Improvement 1. Routine screening of potentially infected seriously ill

patients for severe sepsis to allow earlier implementation of therapy (grade 1C).

2. Hospital–based performance improvement efforts in severe sepsis (UG).

C. Diagnosis

1. Cultures before antimicrobial therapy if delay is <45 min in the start of antimicrobial(s) (grade 1C). ≥2 sets of blood cultures (aerobic and anaerobic) with at least 1 drawn percutaneously and 1 drawn through each vascular access device, unless the device was inserted <48 hrs (grade 1C).

2. 1,3 beta-D-glucan assay (grade 2B), mannan and anti-mannan antibody assays (2C), if available and invasive candidiasis is in differential diagnosis.

3. Imaging studies to confirm a potential source of infection (UG).

D. Antimicrobial Therapy

1. Goal: IV antimicrobials within first hour of septic shock (grade 1B) and severe sepsis without septic shock (grade 1C).

2a. Initial empiric antiinfective therapy of drug(s) active against all likely pathogens and that penetrate inade-quately into sepsis source tissues (grade 1B).

2b. Antimicrobial regimen reassessed daily for potential deescalation (grade 1B).

3. Low procalcitonin levels or similar biomarkers assist clinicians in discontinuation of therapy in patients who initially appeared septic, but have no subsequent evi-dence of infection (grade 2C).

4a. Combination therapy for neutropenic patients with severe sepsis (grade 2B) and for patients with difficult-to-treat, multi-drug-resistant bacterial pathogens (grade 2B). For patients with severe infections associated with respiratory failure and septic shock, combination therapy with an extended spectrum beta-lactam and either an aminoglycoside or a fluoroquinolone (for P. aeruginosa bacteremia) (grade 2B). A combination of beta-lactam and macrolide for patients with septic shock from bacteremic Streptococcus pneumoniae infections (grade 2B).

4b. Combination therapy should not be administered for

>3-5 days. Deescalation to most appropriate single therapy should be performed as soon as the suscepti-bility profile is known (grade 2B).

5. Duration of therapy typically 7-10 days; longer courses may be appropriate in patients who have a slow clinical response, undrainable foci of infection, bacteremia with S. aureus, and some fungal and viral infections or immunologic deficiencies (grade 2C).

6. Antiviral therapy initiated as early as possible in patients with severe sepsis or septic shock of viral origin (grade 2C).

7. Antimicrobial agents should not be used in patients with severe inflammatory states determined to be of noninfectious cause (UG).

E. Source Control

1. Specific anatomical diagnosis and emergent source control should be diagnosed or excluded as rapidly as possible; source control intervention should be under-taken <12 hr after diagnosis, if feasible (grade 1C).

2. When source is potentially infected peripancreatic necro-sis, definitive intervention is best delayed until after adequate demarcation of viable tissues (grade 2B).

BOX 26-20 EVIDENCE-BASED PRACTICE QSEN Severe Sepsis and Septic Shock Management Guidelines

BOX 26-20 EVIDENCE-BASED PRACTICE—cont’d Severe Sepsis and Septic Shock Management Guidelines

3. For source control in severely septic patients, effective interventions associated with the least physiologic insult should be used (UG).

4. If IV access devices are possible sources, they should be removed promptly after other vascular access has been established (UG).

F. Infection Prevention

1a. Selective oral and digestive decontamination should be considered to reduce the incidence of ventilator-associated pneumonia; this can be instituted in settings where it is effective (grade 2B).

1b. Oral chlorhexidine gluconate should be used to reduce risk of ventilator-associated pneumonia in ICU patients with severe sepsis (grade 2B).

G. Fluid Therapy of Severe Sepsis

1. Crystalloids initially in resuscitation of severe sepsis and septic shock (grade 1B).

2. Against hydroxyethyl starches for resuscitation of severe sepsis and septic shock (grade 1B).

3. Albumin in resuscitation of severe sepsis and septic shock when patients require substantial crystalloids (grade 2C).

4. Initial fluid challenge (to a minimum of 30 mL/kg of crystalloids) in patients with sepsis-induced tissue hypo-perfusion with suspicion of hypovolemia. More rapid administration and greater amounts may be needed in some (grade 1C).

5. Fluid challenge technique may be applied wherein fluid administration is continued if there is hemodynamic improvement based on dynamic or static variables (UG).

H. Vasopressors

1. Vasopressor therapy initially to target mean arterial pres-sure (MAP) of 65 mm Hg (grade 1C).

2. Norepinephrine (NE) as first choice vasopressor (grade 1B).

3. Epinephrine (added to and potentially substituted for nor-epinephrine) when additional agent is needed to maintain adequate BP (grade 2B).

4. Vasopressin 0.03 units/minute can be added to NE to raise MAP or decrease NE dosage (UG).

5. Low-dose vasopressin not recommended as the single initial vasopressor for treatment of sepsis-induced hypotension. Vasopressin doses >0.03-0.04 units/minute should be reserved for salvage therapy (UG).

6. Dopamine as an alternative to norepinephrine only in highly selected patients (grade 2C).

7. Phenylephrine not recommended in the treatment of septic shock except where a) norepinephrine is associated with serious arrhythmias, b) cardiac output is high and BP persistently low, or c) as salvage therapy when combined inotrope/vasopressor drugs and low-dose vasopressin have failed to achieve MAP target (grade 1C).

8. Low-dose dopamine should not be used for renal protec-tion (grade 1A).

9. All patients requiring vasopressors have an arterial cath-eter placed as soon as practical (UG).

I. Inotropic Therapy

1. A trial of dobutamine infusion up to 20 mcg/kg/min be administered or added to vasopressor (if in use) in the presence of a) myocardial dysfunction or b) ongoing signs of hypoperfusion, despite adequate intravascular volume and adequate MAP (grade 1C).

2. Not using a strategy to increase cardiac index to prede-termined supranormal levels (grade 1B).

J. Corticosteroids

1. Do not use IV hydrocortisone to treat adults if adequate fluid resuscitation and vasopressor therapy are able to restore hemodynamic stability. Otherwise, IV hydrocorti-sone alone at a dose of 200 mg per day (grade 2C) is suggested.

2. Do not use ACTH stimulation test to identify adults who should receive hydrocortisone (grade 2B).

3. If used, hydrocortisone tapered when vasopressors no longer required (grade 2D).

4. Do not use corticosteroids for treatment of sepsis without shock (grade 1D).

5. When hydrocortisone is given, use continuous flow (grade 2D).

K. Blood Product Administration

1. Once tissue hypoperfusion has resolved (in absence of extenuating circumstances), red blood cell transfusion is recommended only when Hgb decreases to <7.0 g/dL to target an Hgb concentration of 7.0-9.0 g/dL in adults (grade 1B).

2. Do not use erythropoietin to treat anemia associated with severe sepsis (grade 1B).

3. Do not use fresh frozen plasma to correct laboratory clot-ting abnormalities in the absence of bleeding or planned invasive procedures (grade 2D).

4. Do not use antithrombin for treatment of severe sepsis and septic shock (grade 1B).

5. In patients with severe sepsis, administer platelets pro-phylactically when <10,000/mm3 (10 × 109/L) in absence of apparent bleeding. Prophylactic platelet transfusion suggested when <20,000/mm3 (20 × 109/L) if patient has significant risk of bleeding. Higher platelet counts (≥50,000/mm3 [50 × 109/L]) advised for active bleeding, surgery, or invasive procedures (grade 2D).

L. Immunoglobulins

1. Do not use IV immunoglobulins in adults with severe sepsis or septic shock (grade 2B).

M. Selenium

1. Do not use IV selenium for treatment of severe sepsis (grade 2C).

N. Mechanical Ventilation of Sepsis-Induced Acute Respi-ratory Distress Syndrome (ARDS)

1. Target tidal volume of 6 mL/kg predicted body weight in patients with sepsis-induced ARDS (grade 1A vs.

12 mL/kg).

2. Measure plateau pressures in patients with ARDS.

Initial upper limit goal in a passively inflated lung is

≤30 cm H2O (grade 1B).

3. Apply positive end-expiratory pressure (PEEP) to avoid alveolar collapse at end expiration (grade 1B).

Continued

4. Use strategies based on higher levels of PEEP for patients with sepsis-induced moderate or severe ARDS (grade 2C).

5. Use recruitment maneuvers in sepsis patients with severe refractory hypoxemia (grade 2C).

6. Use prone positioning in sepsis-induced ARDS patients with a PaO2/FiO2 ratio ≤100 mm Hg (grade 2B).

7. Maintain mechanically ventilated sepsis patients with head of bed elevated 30-45° to limit aspiration risk and prevent development of ventilator-associated pneumo-nia (grade 1B).

8. Use noninvasive mask ventilation (NIV) in that minority of sepsis-induced ARDS patients in whom the benefits of NIV have been carefully considered (grade 2B).

9. Put a weaning protocol in place. Mechanically ventilated patients with severe sepsis should undergo spontane-ous breathing trials regularly to evaluate ability to discontinue mechanical ventilation when they a) are arousable, b) are hemodynamically stable (without vaso-pressor agents), c) have no new potentially serious conditions, d) have low ventilator and end-expiratory pressure requirements, and e) have low FiO2 require-ments that can be met with a face mask or nasal cannula. If spontaneous breathing trial is successful, consider extubation (grade 1A).

10. Do not routinely use pulmonary artery catheter for patients with sepsis-induced ARDS (grade 1A).

11. Use a conservative fluid strategy for patients with established sepsis-induced ARDS who do not have evi-dence of tissue hypoperfusion (grade 1C).

12. In the absence of specific indications, do not use beta 2-agonists for treatment of sepsis-induced ARDS (grade 1B).

O. Sedation, Analgesia, and Neuromuscular Blockade in Sepsis

1. Continuous or intermittent sedation should be minimized in mechanically ventilated sepsis patients, targeting spe-cific titration endpoints (grade 1B).

2. Avoid neuromuscular blocking agents (NMBAs) if possi-ble in septic patients without ARDS due to risk of pro-longed neuromuscular blockade following discontinuation.

If NMBAs must be maintained, use either intermittent bolus as required or continuous infusion with train-of-four monitoring (grade 1C).

3. Use a short course of NMBA ≤48 hours for patients with early sepsis-induced ARDS and PaO2/FiO2< 150 mm Hg (grade 2C).

P. Glucose Control

1. A protocolized approach to management in ICU patients with severe sepsis commencing insulin dosing when 2 consecutive blood glucose levels are >180 mg/dL.

Approach should target an upper blood glucose ≤180 mg/

dL (grade 1A).

2. Blood glucose values should be monitored every 1-2 hrs until glucose values and insulin infusion rates stabilize, then every 4 hr, thereafter (grade 1C).

3. Glucose levels obtained with point-of-care testing of cap-illary blood should be interpreted with caution (UG).

Q. Renal Replacement Therapy

1. Continuous renal replacement therapies and intermittent hemodialysis are equivalent in severe sepsis and acute renal failure (grade 2B).

2. Use continuous therapies to facilitate management of fluid balance in hemodynamically unstable septic patients (grade 2D).

R. Bicarbonate Therapy

1. Do not use sodium bicarbonate therapy for improving hemodynamics or reducing vasopressor requirements in patients with hypoperfusion-induced lactic acidemia with pH ≥7.15 (grade 2B).

S. Deep Vein Thrombosis Prophylaxis

1. Patients with severe sepsis should receive daily pharma-coprophylaxis against venous thromboembolism (grade 1B). Accomplish with daily subcutaneous low–molecular- weight heparin (LMWH) (grade 1B vs. twice daily UFH, grade 2C vs. three times daily UFH). If creatinine clear-ance <30 mL/min, use dalteparin (grade 1A) or another form of LMWH that has a low degree of renal metabo-lism (grade 2C) or UFH (grade 1A).

2. Treat patients with severe sepsis with combination of pharmacologic therapy and intermittent pneumatic com-pression devices if possible (grade 2C).

3. Do not use pharmacoprophylaxis in septic patients who have a contraindication for heparin use (grade 1B).

Use mechanical prophylactic treatment (grade 2C), unless contraindicated. When risk decreases, start phar-macoprophylaxis (grade 2C).

T. Stress Ulcer Prophylaxis

1. Give stress ulcer prophylaxis using H2 blocker or proton pump inhibitor to patients with severe sepsis/septic shock who have bleeding risk factors (grade 1B).

2. If used, proton pump inhibitors preferred over H2RA (grade 2D)

3. Patients without risk factors do not receive prophylaxis (grade 2B).

U. Nutrition

1. Administer oral or enteral feedings rather than either complete fasting or provision of only IV glucose within the first 48 hours after diagnosis of severe sepsis/septic shock (grade 2C).

2. Avoid mandatory full caloric feeding in first week. Suggest low-dose feeding, advancing only as tolerated (grade 2B).

3. Use IV glucose and enteral nutrition rather than total parenteral nutrition alone or parenteral nutrition in con-junction with enteral feeding in the first 7 days after diagnosis of severe sepsis/septic shock (grade 2B).

4. Use nutrition with no specific immunomodulating supple-mentation in patients with severe sepsis (grade 2C).

V. Setting Goals of Care

1. Discuss goals and prognosis with patients and families (grade 1B).

2. Incorporate goals into treatment and end-of-life care plan-ning (grade 1B).

3. Address goals as early as feasible, but no later than within 72 hours of ICU admission (grade 2C).

Data from Dellinger RP, Levy MM, Rhodes A, et al. Surviving Sepsis Campaign: international guidelines for management of severe sepsis and septic shock: 2012. Crit Care Med. 2013: 41(2):580.

UG, Ungraded.

FIG 26-8 Pathogenesis  of  Multiple  Organ  Dysfunction  Syndrome. GI, Gastrointestinal;

MDF, myocardial depressant factor; MODS, multiple organ dysfunction syndrome; PAF, platelet activating factor; WBCs, white blood cells. (From McCance KL, Huether SE, eds. Pathophysiol-ogy: The Biological Basis for Disease in Adults and Children. 7th ed. St. Louis: Elsevier; 2014.) Initial organ

injury

Activation of resident macrophages/neutrophils

Local/mild systemic inflammatory/stress response

PRIMARY MODS

Postinjury insult Primed inflammatory system

Endothelial dysfunction Neuroendocrine response

Activation of complement, coagulation, kallikrein/kinin, and fibrinolytic cascades

Microvascular clotting Neutrophil adherence and activation

Macrophage activation

GI microcirculatory failure

Impaired microvascular circulation

PAF O2 radicals

Proteases Eicosanoids

Eicosanoids O2 radicals Proteases Cytokines

Gut barrier failure

Systemic endotoxemia

Hypermetabolism Hyperdynamic circulation Uncontrolled systemic

inflammatory/stress response Vasodilation

Capillary permeability Selective vasoconstriction

Endothelial damage

Maldistribution of blood flow

Interstitial edema

Recruitment of additional WBCs

Myocardial depression Impaired tissue

perfusion

O2 supply/demand imbalance

↑ O2 and substrate demand

Myocardial dysfunction Supply-dependent O2 consumption

MDF Tissue hypoxia

Acidosis Impaired cellular function

SECONDARY MODS

Exhaustion of fuel supply Mitochondrial

dysfunction

Metabolic failure

Clinical Conditions

• Infection

• Infection of vascular structures (heart and lungs)

• Pancreatitis

• Tissue ischemia or hypoxia

• Multiple trauma with massive tissue injury

• Hemorrhagic shock

• Immune-mediated organ injury

• Exogenous administration of tumor necrosis factor or other cytokines

• Aspiration of gastric contents

• Massive transfusion

• Host defense abnormalities Clinical Manifestations

• Temperature >38° C or <36° C

• Heart rate >90 beats/min

• Respiratory rate >20 breaths/min or PaCO2 <32 mm Hg

• WBC >12,000 cells/mm3 or <4000 cells/mm3 or >10%

immature (band) forms

BOX 26-21 Clinical Conditions and Manifestations Associated with SIRS

WBC, White blood cell count.

inflammatory  responses.  Primary  MODS  accounts  for  only   a  small  percentage  of  MODS  cases.  Examples  of  Primary  MODS include the immediate consequences of posttraumatic  pulmonary failure, thermal injuries, AKI, or invasive infec-tions.86 These cellular or microcirculatory insults may lead to  a loss of critical organ function induced by failure of delivery  of oxygen and substrates, coupled with the inability to remove  end-products of metabolism. The inflammatory response in  Primary  MODS  has  a  less  apparent  presentation  and  may  resolve  without  long-term  implications.  However,  Primary  MODS may “prime” physiologic systems for a more sustained  exaggerated inflammatory response that leads to Secondary  MODS.

Secondary  MODS  is  a  consequence  of  widespread  sus-tained systemic inflammation that results in dysfunction of  organs  not  involved  in  the  initial  insult.  Secondary  MODS  develops latently after an initial insult.86 The early impairment  of organs normally involved in immunoregulatory function,  such as the liver and the GI tract, intensifies the host response  to the insult.127 The initial insult may prime the inflammatory  system in such a way that even a mild second insult (hit) may  perpetuate  a  sustained  hyperinflammatory  response.  This 

“two-hit hypothesis” has been increasingly recognized as an  important contributor to morbidity and mortality in patients  with Secondary MODS.128

SIRS and sepsis are common initiating events in the devel-opment  of  Secondary  MODS.  The  systemic  inflammatory  response  is  an  intense  host  response  characterized  by  sus-tained generalized inflammation in organs remote from the  initial  insult.  SIRS  is  widespread  inflammation  or  clinical  responses to inflammation that occur in patients suffering a  variety  of  insults.  Clinical  conditions  and  manifestations  associated  with  SIRS  are  listed  in Box  26-21.  These  insults  produce similar or identical systemic inflammatory responses,  even in the absence of infection. The diagnostic criteria for 

SIRS have been previously addressed (Figure 26-7). Manifes-tations of SIRS must represent an acute alteration from the  patient’s  normal  baseline  and  must  not  be  related  to  other  causes  (e.g.,  neutropenia  from  chemotherapy).  Organ  dys-function, such as ARDS, AKI, and MODS, is a complication  of  SIRS.86,123  In  epidemiologic  studies,  SIRS  was  found  to  occur in one-third of all hospitalized patients, in 50% to 93% 

of all patients in critical care units, and in about 80% of all  patients in surgical critical care units.129-130

When SIRS is a result of infection, the term sepsis is used. 

SIRS, sepsis, severe sepsis, and septic shock represent a hier-archical  continuum  of  the  inflammatory  response  to  infec-tion.17 Infection and shock are the most common precipitating  factors; however, any disease that induces a major inflamma-tory response can initiate the events that lead to MODS.

When inflammation is not contained locally, consequences  occur systemically that lead to organ dysfunction, including  intense, uncontrolled activation of inflammatory cells, direct  damage of vascular endothelium, disruption of immune cell  function, persistent hypermetabolism, and maldistribution of  circulatory volume to organ systems. Inflammation becomes  a systemic, self-perpetuating process that is inadequately con-trolled and results in organ dysfunction.123

During hypermetabolism, changes occur in cellular ana-bolic  and  cataDuring hypermetabolism, changes occur in cellular ana-bolic  function,  resulting  in  autocatabolism. 

Autocatabolism manifests as a severe decrease in lean body  mass, severe weight loss, anergy, and increased CO and VO2  resulting from profound alterations in carbohydrate, protein,  and fat metabolism.123  Concurrently, GI, hepatic, and immu-nologic  dysfunction  may  occur,  which  intensifies  systemic  inflammation.131  Clinical consequences may affect gut func- tion, wound healing, muscles wasting, host response, respira-tory function, and continued promotion of the hypermetabolic  response.

Not all patients develop MODS from SIRS. The develop-ment  of  MODS  appears  to  be  associated  with  failure  to  control  the  source  of  inflammation  or  infection,  persistent  hypoperfusion, flow-dependent oxygen consumption (VO2),  or the continued presence of necrotic tissue.125

Pathophysiology

Secondary  MODS  results  from  altered  regulation  of  the  patient’s  acute  immune  and  inflammatory  responses.  Dys-regulation,  or  failure  to  control  the  host  inflammatory  response, leads to the excessive production of inflammatory  cells  and  biochemical  mediators  that  cause  widespread  damage to vascular endothelium and organ damage.123,132 The  critically ill patient’s compromised immune state also fosters  an environment conducive to organ failure.

The definitive clinical course of Secondary MODS has not  been completely identified. Organ dysfunction may occur in  a sequential or progressive pattern. Organ dysfunction may  begin in the lungs, the most commonly affected major organ,  and progress to the liver, gut, and kidneys. Cardiac and bone  marrow dysfunction may follow. Neurologic and autonomic  system impairment may occur and propagate the progression  of  organ  failure  and  is  associated  with  illness  severity  and  mortality.133  Organs  may  fail  simultaneously;  for  example,  kidney dysfunction may occur concurrently with hepatic dys-function.  After  the  initial  insult  and  resuscitation,  patients  develop  persistent  hypermetabolism,  a  metabolic  conse-quence of sustained systemic inflammation and physiologic  stress,  followed  closely  by  pulmonary  dysfunction,  mani-fested as ARDS.

translocation, sustained inflammation, endogenous endotox-emia,  and  MODS.123,132  Hypoperfusion  and  shocklike  states  damage  the  normal  gastrointestinal  mucosa  barrier  by  decreasing mesenteric blood flow, leading to hypoperfusion  of the villi, mucosal edema, ischemic necrosis, sloughing of  the mucosa, and malabsorption. The gastrointestinal tract is  extremely vulnerable to oxygen metabolite-induced reperfu-sion  injury.  Endothelial  injury  and  gastrointestinal  lesions  occur in response to mediator-induced tissue damage. Isch-emic  events  and  the  absence  of  feedings  can  disrupt  the  normal metabolism of the gastric or intestinal lumen and the  normal protective function of the gut barrier.119,127

The  translocation  of  gastrointestinal  bacteria  through  a 

“leaky  gut”  into  the  systemic  circulation  initiates  and  per-petuates an inflammatory focus in the critically ill patient.127  The gastrointestinal tract harbors organisms that present an  inflammatory focus when carried from the gut via the intes-tinal  lymphatics.  After  hemorrhagic  shock,  trauma,  or  a  major burn injury, gut-released proinflammatory and tissue-injurious factors may lead to acute lung injury, bone marrow  failure, myocardial dysfunction, neutrophil activation, RBC  injury,  and  endothelial  cell  activation  and  injury.  These  factors, released from the gut and carried in the mesenteric  lymphatics, are capable of causing a septic state and Second-ary  MODS.  In  summary,  the  “gut-lymph  hypothesis”  pro-poses that gut ischemia-reperfusion injury leads to loss of a  gut-protective  barrier,  bacterial  translocation,  and  a  gut  inflammatory  response.  Gut-derived  inflammatory  factors  are carried in the mesenteric lymph leading to a septic state  and distant organ failure and MODS.2

Lastly,  the  oropharynx  of  the  critically  ill  patient  also  becomes  colonized  with  potentially  pathogenic  organisms  from the gastrointestinal tract. Pulmonary aspiration of colo-nized  secretions  presents  an  inflammatory  focus  that  can  contribute to concomitant pulmonary dysfunction.134 Hepatobiliary Dysfunction

The  liver  plays  a  vital  role  in  host  homeostasis  related  to   the acute inflammatory response. The liver responds to sus-tained inflammation by selectively altering carbohydrate, fat,  and protein metabolism. Consequently, hepatic dysfunction  threatens  the  patient’s  survival.  The  liver  normally  controls  the inflammatory response by several mechanisms. Kupffer  cells,  which  are  hepatic  macrophages,  detoxify  substances  that may normally induce systemic inflammation and vasoac-tive  substances  that  cause  hemodynamic  instability.  Failure   to  detoxify  gram-negative  bacteria  causes  endotoxemia,   perpetuates  SIRS,  and  may  lead  to  MODS.  The  liver  also  produces  proteins  and  antiproteases  to  control  the  inflam-matory  response;  however,  hepatic  dysfunction  limits  this  response.

Common causes of liver failure in critically ill patients are  infection-related  cholestasis  and  hepatocellular  injury  in  response  to  toxins  and  to  toxins  themselves.  In  infection-related  cholestasis,  bacterial  toxins  and  released  cytokines  affect the uptake and excretion of bilirubin leading to jaun-dice.  In  hepatocellular  injury,  endotoxins  and  bacteria  are  phagocytized  by  Kupffer  cells  that  release  hepatotoxic  sub-stances that cause cellular damage. Hepatic dysfunction may  also  occur  with  organ  hypoperfusion,  hemolysis,  and  with  hepatotoxic  medications.  Measurements  of  liver  enzymes,  bilirubin,  ammonia,  and  liver-produced  proteins  should  be  carefully monitored.135

Certain cellular and biochemical activity evoke the inflam-matory  and  immune  responses  implicated  in  SIRS  and  MODS. The mediators associated with SIRS and MODS can  be classified as inflammatory cells, biochemical mediators, or  plasma protein systems (Box 26-22). Activation of one media-tor often leads to activation of another. The biologic activity  of  inflammatory  cells,  biochemical  mediators,  and  plasma  protein systems and how they work in concert to cause SIRS  and MODS have not been totally determined.

Assessment and Diagnosis

Secondary  MODS  is  a  systemic  disease  with  organ-specific  manifestations. Organ dysfunction is influenced by numer-ous factors, including organ host defense function, response  time to the injury, metabolic requirements, organ vasculature  response  to  vasoactive  medications,  organ  sensitivity  to  damage, and physiologic reserve. The responses of the gastro-intestinal,  hepatobiliary,  cardiovascular,  pulmonary,  renal,  and hematologic systems are discussed in the following para- graphs. Clinical manifestations of organ dysfunction are out-lined in Box 26-23.

Gastrointestinal Dysfunction

The gastrointestinal tract plays an important role in MODS. 

Gastrointestinal  organs  normally  have  immunoregulatory  functions, and the gastrointestinal tract contains about 70% 

to 80% of the immunologic tissue of the entire body. A nor-mally  functioning  gastrointestinal  tract  prevents  bacteria  from  entering  the  systemic  circulation.123  Normal  gut  flora  and gut environment are altered in patients with severe SIRS. 

Healthy probiotics (e.g., Bifidobacterium, Lacto bacillus) are  decreased  in  a  SIRS  state,  and  pathogenic  organisms  (e.g.,  Staphylococcus, Pseudomonas) proliferate.131

With microcirculatory failure to the gastrointestinal tract,  the gut’s barrier function may be lost, which leads to bacterial 

Inflammatory Cells

• Neutrophils

• Macrophages or monocytes

• Mast lymphocytes

• Endothelial

Biochemical Mediators

• Reactive oxygen species

• Superoxide radical

• Hydroxyl radical

• Hydrogen peroxide

• Tumor necrosis factor

• Interleukins

• Platelet activating factor

• Arachidonic acid metabolites

• Prostaglandins

• Leukotrienes

• Thromboxanes

• Proteases

Plasma Protein Systems

• Complement

• Kinin

• Coagulation

BOX 26-22 Inflammatory Mediators

Dalam dokumen Assessment and Diagnosis (Halaman 115-130)