TY - CHAP M1 - Book, Section TI - Sepsis, Multiple Organ Dysfunction Syndrome, and Chronic Critical Illness A1 - Gordon, Emily K. B. A1 - Deutschman, Clifford S. A2 - Grippi, Michael A. A2 - Elias, Jack A. A2 - Fishman, Jay A. A2 - Kotloff, Robert M. A2 - Pack, Allan I. A2 - Senior, Robert M. A2 - Siegel, Mark D. PY - 2015 T2 - Fishman's Pulmonary Diseases and Disorders, 5e AB - The past four decades have added greatly to our recognition that sepsis, originally defined as a syndrome induced by actively dividing microorganisms in the circulation, is, in fact, a complex and diverse disorder. The term has now come to encompass a constellation of abnormalities that reflect disordered or dysregulated inflammation. As such, sepsis may be initiated by infection; however, it may also occur in the absence of microbial invasion, for example, in response to extensive trauma, uninfected pancreatitis, ruptured aortic aneurysm, or some distinctly unusual entities, such as amniotic fluid embolism. All such patients may develop multiple organ dysfunction syndrome (MODS) and a newly recognized state currently called “chronic critical illness (CCI).” What is now apparent is that our ability to manage shock and to support organ function has unmasked a common ­family of disorders that have a high mortality and significant morbidity. Familiarity with sepsis is essential for all medical practitioners. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/16 UR - accessmedicine.mhmedical.com/content.aspx?aid=1122371285 ER -