Symposium: intensive careSepsis: what is old is new!

Sepsis remains an important cause of death in paediatrics. The recognition of sepsis is mainly clinical although lactate measurement has become important in evaluating organ dysfunction. The management of sepsis is directed by early use of antibiotics, fluids and inotropes. Commencing early mechanical ventilation protects the airways and augments cardiac output and perfusion. Despite improved technology, survival in sepsis is still very much dependent on initial recognition and management.