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Septic shock is common in intensive care and has a high mortality rate. As a result of sepsis or septic shock, the majority of patients develop respiratory distress. Pathologically, the lung injury is known as diffuse alveolar damage (DAD), and it ranges from acute lung injury (ALI) to mild ARDS.
For optimal respiratory support, these patients require intubation and mechanical ventilation. Intubation should be considered early in the progression of sepsis and septic shock. Direct oxygen delivery into the trachea at a fraction of inspired oxygen (FIO2) of 1 is far superior to delivery through a non- rebreather oxygen mask.
The majority of the evidence for recommendations on ventilator support in patients with sepsis or septic shock comes from studies conducted in resource-rich settings.
Dr. Vasanth Kumar. S summarizes mechanical ventilation in specific clinical conditions and its indication, how intubation helps in sepsis.
