Title: Pediatric Pearls from the Surviving Sepsis Guideline
题目：2013年国际脓毒症急救指南儿科病人的要素
Author 作者：Feng Xiao

Oxygenation and ventilation
供氧和通气
Therapy with face mask oxygen, high flow nasal cannula oxygen, or nasopharyngeal continuous PEEP in the presence of respiratory distress and hypoxemia (2C), use of physical examination therapeutic endpoints such as capillary refill (2C).
在没有呼吸困难和低氧的情况下，可用面罩，高流量鼻导管，或鼻咽部持续PEEP给氧（2C），用体征作为观察效果的指标，如毛细血管再充盈时间（2C）。
Fluid therapy
液体治疗
For septic shock associated with hypovolemia, the use of crystalloids or albumin to deliver a bolus of 20 mL/kg of crystalloids (or albumin equivalent) over 5 to 10 mins (2C).
低容量性感染性休克，可在5－10分钟内给晶体（20ml／kg）或等量的白蛋白（2C）。
Inotropes and vasodilators
强心药和血管舒张剂
More common use of inotropes and vasodilators for low cardiac output septic shock associated with elevated systemic vascular resistance (2C).
对伴有周围血管阻力增加和低心输出量的感染性休克病人可用强心药和血管舒张剂（2C）。
Corticosteroids
激素
Use of hydrocortisone only in children with suspected or proven "absolute"' adrenal insufficiency (2C).
只有在怀疑或确定有“绝对”肾上腺皮质功能不全时，才考虑氢化可的松的使用（2C）。

References 参考文献

Surviving Sepsis Campaign: International Guidelines for Management of Severe Sepsis and Septic Shock. Crit Care Med. 2013 Feb;41(2):580-637.