CLINICAL APPROACH AND GUIDELINES FOR MANAGEMENT OF SEPSIS ASSOCIATED ENCEPHALOPATHY

Septic associated encephalopathy (SAE) is simply define as an encephalopathy incidence that occurs in sepsis patients. Ironically this entity can increases the mortality rate. Importantly, the clinical presentations of this entity is vary ranging from malaise to coma condition. The central nervous s...

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Main Authors: Ayu Trisnawati, Badrul Munir
Format: Article
Language:English
Published: University of Brawijaya 2019-05-01
Series:Malang Neurology Journal
Subjects:
Online Access:https://mnj.ub.ac.id/index.php/mnj/article/view/277
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author Ayu Trisnawati
Badrul Munir
author_facet Ayu Trisnawati
Badrul Munir
author_sort Ayu Trisnawati
collection DOAJ
description Septic associated encephalopathy (SAE) is simply define as an encephalopathy incidence that occurs in sepsis patients. Ironically this entity can increases the mortality rate. Importantly, the clinical presentations of this entity is vary ranging from malaise to coma condition. The central nervous system is susceptible to damage that caused by systemic inflammation including sepsis with complex pathophysiologies such as endothelial dysfunction, neurotransmitter imbalance, oxidative stress, mitochondrial dysfunction and apoptosis. In general, current management of SAE is similar with the management of sepsis incidence which includes infections management, maintaining tissue perfusion and symptomatic therapy to treat delirium and convulsions that may occur. Also, several studies continue to be developed including the use of corticosteroids, magnesium, antioxidants, and immunoglobulin. Early identification and appropriate initial handling significantly affect the output of the SAE patients.
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spelling doaj.art-bb5bb8f8fa534c49afb392307280798c2022-12-21T19:18:07ZengUniversity of BrawijayaMalang Neurology Journal2407-67242442-50012019-05-01529810410.21776/ub.mnj.2019.005.02.1099CLINICAL APPROACH AND GUIDELINES FOR MANAGEMENT OF SEPSIS ASSOCIATED ENCEPHALOPATHYAyu Trisnawati0Badrul Munir1Department of Neurology Faculty of Medicine Brawijaya University, MalangDepartment of Neurology Faculty of Medicine Brawijaya University, MalangSeptic associated encephalopathy (SAE) is simply define as an encephalopathy incidence that occurs in sepsis patients. Ironically this entity can increases the mortality rate. Importantly, the clinical presentations of this entity is vary ranging from malaise to coma condition. The central nervous system is susceptible to damage that caused by systemic inflammation including sepsis with complex pathophysiologies such as endothelial dysfunction, neurotransmitter imbalance, oxidative stress, mitochondrial dysfunction and apoptosis. In general, current management of SAE is similar with the management of sepsis incidence which includes infections management, maintaining tissue perfusion and symptomatic therapy to treat delirium and convulsions that may occur. Also, several studies continue to be developed including the use of corticosteroids, magnesium, antioxidants, and immunoglobulin. Early identification and appropriate initial handling significantly affect the output of the SAE patients.https://mnj.ub.ac.id/index.php/mnj/article/view/277Sepsis Associated Encephalopathyseptic conditionbrain in sepsis
spellingShingle Ayu Trisnawati
Badrul Munir
CLINICAL APPROACH AND GUIDELINES FOR MANAGEMENT OF SEPSIS ASSOCIATED ENCEPHALOPATHY
Malang Neurology Journal
Sepsis Associated Encephalopathy
septic condition
brain in sepsis
title CLINICAL APPROACH AND GUIDELINES FOR MANAGEMENT OF SEPSIS ASSOCIATED ENCEPHALOPATHY
title_full CLINICAL APPROACH AND GUIDELINES FOR MANAGEMENT OF SEPSIS ASSOCIATED ENCEPHALOPATHY
title_fullStr CLINICAL APPROACH AND GUIDELINES FOR MANAGEMENT OF SEPSIS ASSOCIATED ENCEPHALOPATHY
title_full_unstemmed CLINICAL APPROACH AND GUIDELINES FOR MANAGEMENT OF SEPSIS ASSOCIATED ENCEPHALOPATHY
title_short CLINICAL APPROACH AND GUIDELINES FOR MANAGEMENT OF SEPSIS ASSOCIATED ENCEPHALOPATHY
title_sort clinical approach and guidelines for management of sepsis associated encephalopathy
topic Sepsis Associated Encephalopathy
septic condition
brain in sepsis
url https://mnj.ub.ac.id/index.php/mnj/article/view/277
work_keys_str_mv AT ayutrisnawati clinicalapproachandguidelinesformanagementofsepsisassociatedencephalopathy
AT badrulmunir clinicalapproachandguidelinesformanagementofsepsisassociatedencephalopathy