ACOG technical bulletin. Septic shock. Number 204--April 1995 (replaces no. 75, March 1984). Committee on Technical Bulletins of the American College of Gynecologists.

Septic shock remains an important cause of death and permanent disability in obstetric and gynecologic patients. Prompt recognition and diagnosis are critical to optimizing outcome. A thorough understanding of the pathophysiologic mechanisms operative in septic shock is important in treating these critically ill women. Immediate attention to oxygenation and hemodynamic stability is of paramount importance in effecting the best possible outcome. The use of sophisticated technology, including pulmonary artery monitoring and mechanical ventilation is frequently necessary, requiring intensive monitoring. Consultation with practitioners experienced in the management of septic shock is often helpful.