Organ dysfunction during sepsis.

BACKGROUND

Multiple organ dysfunction syndrome is the commonest reason for sepsis-associated mortality.

DISCUSSION

In the 40 years since it was first described understanding of its pathophysiology has improved, and novel methodologies for monitoring and severity of illness scoring have emerged. These, together with the development of systematic strategies for managing organ dysfunction in sepsis, and potentially effective new therapeutic interventions, should assist in reducing sepsis-associated mortality.

CONCLUSION

These historical developments are discussed, and the reader is directed to these references for further guidance.