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Published in: Intensive Care Medicine 3/2006

01-03-2006 | Seminal Study in Intensive Care

Organ dysfunction during sepsis

Authors: Suveer Singh, Timothy W. Evans

Published in: Intensive Care Medicine | Issue 3/2006

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Abstract

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.
Literature
1.
go back to reference Members of the American College of Chest Physicians/Society of Crit Care Med Consensus Conference Committee: American College of Chest Physicians/Society of Crit Care Med Consensus conference (1992) Definitions for sepsis and organ failure and guidelines for the use of innovative therapies in sepsis. Crit Care Med 20:864–874 Members of the American College of Chest Physicians/Society of Crit Care Med Consensus Conference Committee: American College of Chest Physicians/Society of Crit Care Med Consensus conference (1992) Definitions for sepsis and organ failure and guidelines for the use of innovative therapies in sepsis. Crit Care Med 20:864–874
2.
go back to reference Levy MM, Fink MP, Marshall JC, Abraham E, Angus D, Cook D, Cohen J, Opal SM, Vincent JL, Ramsay G, SCCM/ESICM/ACCP/ATS/SIS (2003) 2001 International Sepsis Definitions Conference. Crit Care Med 31:1250–1256PubMed Levy MM, Fink MP, Marshall JC, Abraham E, Angus D, Cook D, Cohen J, Opal SM, Vincent JL, Ramsay G, SCCM/ESICM/ACCP/ATS/SIS (2003) 2001 International Sepsis Definitions Conference. Crit Care Med 31:1250–1256PubMed
3.
go back to reference Brun-Buisson C (2000) The epidemiology of the systemic inflammatory response. Intensive Care Med 26 [Suppl 1]:S64–S74 Brun-Buisson C (2000) The epidemiology of the systemic inflammatory response. Intensive Care Med 26 [Suppl 1]:S64–S74
4.
go back to reference Martin GS, Mannino DM, Eaton S, Moss M (2003) The epidemiology of sepsis in the United States from 1979 through 2000. N Engl J Med 348:1546–1554PubMed Martin GS, Mannino DM, Eaton S, Moss M (2003) The epidemiology of sepsis in the United States from 1979 through 2000. N Engl J Med 348:1546–1554PubMed
5.
go back to reference Annane D, Aegerter P, Jars-Guincestre MC, Guidet B (2003) Current epidemiology of septic shock: the CUB-Rea Network. Am J Respir Crit Care Med 168:165–172PubMed Annane D, Aegerter P, Jars-Guincestre MC, Guidet B (2003) Current epidemiology of septic shock: the CUB-Rea Network. Am J Respir Crit Care Med 168:165–172PubMed
6.
go back to reference Padkin A, Goldfrad C, Brady AR, Young D, Black N, Rowan K (2003) Epidemiology of severe sepsis occurring in the first 24 hrs in intensive care units in England, Wales, and Northern Ireland. Crit Care Med 31:2332–2338PubMed Padkin A, Goldfrad C, Brady AR, Young D, Black N, Rowan K (2003) Epidemiology of severe sepsis occurring in the first 24 hrs in intensive care units in England, Wales, and Northern Ireland. Crit Care Med 31:2332–2338PubMed
7.
go back to reference Eiseman B, Beart R, Norton L (1977) Multiple organ failure. Surg Gynecol Obstet 144:323–326PubMed Eiseman B, Beart R, Norton L (1977) Multiple organ failure. Surg Gynecol Obstet 144:323–326PubMed
8.
go back to reference Fry DE, Pearlstein L, Fulton RL, Polk HC Jr (1980) Multiple system organ failure. Arch Surg 115:136–140PubMed Fry DE, Pearlstein L, Fulton RL, Polk HC Jr (1980) Multiple system organ failure. Arch Surg 115:136–140PubMed
9.
go back to reference Bernard GR, Artigas A, Brigham KL, Carlet J, Falke K, Hudson L, Lamy M, LeGall JR, Morris A, Spragg R (1994) The American-European Consensus Conference on ARDS. Definitions, mechanisms, relevant outcomes, and clinical trial coordination. Am J Respir Crit Care Med 149:818–824PubMed Bernard GR, Artigas A, Brigham KL, Carlet J, Falke K, Hudson L, Lamy M, LeGall JR, Morris A, Spragg R (1994) The American-European Consensus Conference on ARDS. Definitions, mechanisms, relevant outcomes, and clinical trial coordination. Am J Respir Crit Care Med 149:818–824PubMed
10.
go back to reference Milberg JA, Davis DR, Steinberg KP, Hudson LD (1995) Improved survival of patients with acute respiratory distress syndrome 1983–1993. JAMA 273:306–309PubMed Milberg JA, Davis DR, Steinberg KP, Hudson LD (1995) Improved survival of patients with acute respiratory distress syndrome 1983–1993. JAMA 273:306–309PubMed
11.
go back to reference Angus DC, Musthafa AA, Clermont G, Griffin MF, Linde-Zwirble WT, Dremsizov TT, Pinsky MR (2001) Quality-adjusted survival in the first year after the acute respiratory distress syndrome. Am J Respir Crit Care Med 163:1389–1394PubMed Angus DC, Musthafa AA, Clermont G, Griffin MF, Linde-Zwirble WT, Dremsizov TT, Pinsky MR (2001) Quality-adjusted survival in the first year after the acute respiratory distress syndrome. Am J Respir Crit Care Med 163:1389–1394PubMed
12.
go back to reference Fink MP, Evans TW (2002) Mechanisms of organ dysfunction in critical illness: report from a round table conference held in Brussels. Intensive Care Med 28:369–375PubMed Fink MP, Evans TW (2002) Mechanisms of organ dysfunction in critical illness: report from a round table conference held in Brussels. Intensive Care Med 28:369–375PubMed
13.
go back to reference Parrillo JE, Burch C, Shelhamer JH, Parker MM, Natanson C, Schuette W (1985) A circulating myocardial depressant substance in humans with septic shock. Septic shock patients with a reduced ejection fraction have a circulating factor that depresses in vitro myocardial cell performance. J Clin Invest 76:1539–1553PubMedCrossRef Parrillo JE, Burch C, Shelhamer JH, Parker MM, Natanson C, Schuette W (1985) A circulating myocardial depressant substance in humans with septic shock. Septic shock patients with a reduced ejection fraction have a circulating factor that depresses in vitro myocardial cell performance. J Clin Invest 76:1539–1553PubMedCrossRef
14.
go back to reference Lam C, Tyml K, Martin C, Sibbald W (1994) Microvascular perfusion is impaired in a rat model of normotensive sepsis. J Clin Invest 94:2077–2083PubMed Lam C, Tyml K, Martin C, Sibbald W (1994) Microvascular perfusion is impaired in a rat model of normotensive sepsis. J Clin Invest 94:2077–2083PubMed
15.
go back to reference Sakr Y, Dubois MJ, De Backer D, Creteur J, Vincent JL (2004) Persistent microcirculatory alterations are associated with organ failure and death in patients with septic shock. Crit Care Med 32:1825–1831PubMed Sakr Y, Dubois MJ, De Backer D, Creteur J, Vincent JL (2004) Persistent microcirculatory alterations are associated with organ failure and death in patients with septic shock. Crit Care Med 32:1825–1831PubMed
16.
go back to reference Fink MP (2002) Bench-to-bedside review: cytopathic hypoxia. Crit Care 6:491–499PubMed Fink MP (2002) Bench-to-bedside review: cytopathic hypoxia. Crit Care 6:491–499PubMed
17.
go back to reference Sair M, Etherington PJ, Winlove CP, Evans TW (2001) Tissue oxygenation and perfusion in human skeletal muscle in patients with systemic sepsis. Crit Care Med 29:1343–1349PubMed Sair M, Etherington PJ, Winlove CP, Evans TW (2001) Tissue oxygenation and perfusion in human skeletal muscle in patients with systemic sepsis. Crit Care Med 29:1343–1349PubMed
18.
go back to reference Brealey D, Brand M, Hargreaves I, Heales S, Land J, Smolenski R, Davies NA, Cooper CE, Singer M (2002) Association between mitochondrial dysfunction and severity and outcome of septic shock. Lancet 360:219–223PubMed Brealey D, Brand M, Hargreaves I, Heales S, Land J, Smolenski R, Davies NA, Cooper CE, Singer M (2002) Association between mitochondrial dysfunction and severity and outcome of septic shock. Lancet 360:219–223PubMed
19.
go back to reference Mira JP, Cariou A, Grall F, Delclaux C, Losser MR, Heshmati F, Cheval C, Monchi M, Teboul JL, Riche F, Leleu G, Arbibe L, Mignon A, Delpech M, Dhainaut JF (1999) Association of TNF2, a TNF-alpha promoter polymorphism, with septic shock susceptibility and mortality: a multicenter study. JAMA 282:561–568PubMed Mira JP, Cariou A, Grall F, Delclaux C, Losser MR, Heshmati F, Cheval C, Monchi M, Teboul JL, Riche F, Leleu G, Arbibe L, Mignon A, Delpech M, Dhainaut JF (1999) Association of TNF2, a TNF-alpha promoter polymorphism, with septic shock susceptibility and mortality: a multicenter study. JAMA 282:561–568PubMed
20.
go back to reference Levi M, Ten Cate H (1999) Disseminated intravascular coagulation. N Engl J Med 341:586–592PubMed Levi M, Ten Cate H (1999) Disseminated intravascular coagulation. N Engl J Med 341:586–592PubMed
21.
go back to reference Godin PJ, Buchman TG (1996) Uncoupling of biological oscillators: a complementary hypothesis concerning the pathogenesis of multiple organ dysfunction syndrome. Crit Care Med 24:1107–1116PubMed Godin PJ, Buchman TG (1996) Uncoupling of biological oscillators: a complementary hypothesis concerning the pathogenesis of multiple organ dysfunction syndrome. Crit Care Med 24:1107–1116PubMed
22.
go back to reference Fink MP (2005) Epithelial barrier dysfunction: a unifying theme to explain the pathogenesis of multiple organ dysfunction at the cellular level. Crit Care Clin 21:177–196PubMed Fink MP (2005) Epithelial barrier dysfunction: a unifying theme to explain the pathogenesis of multiple organ dysfunction at the cellular level. Crit Care Clin 21:177–196PubMed
23.
go back to reference Carrico CJ, Meakins JL, Marshall JC, Fry D, Maier RV (1986) Multiple-organ-failure syndrome: the gastrointestinal tract-the motor of MOF. Arch Surg 121:197–201 Carrico CJ, Meakins JL, Marshall JC, Fry D, Maier RV (1986) Multiple-organ-failure syndrome: the gastrointestinal tract-the motor of MOF. Arch Surg 121:197–201
24.
go back to reference Fine J, Frank ED, Rutenberg SH, Schweinburg FB (1959) The bacterial factor in traumatic shock. N Engl J Med 260:214–220PubMedCrossRef Fine J, Frank ED, Rutenberg SH, Schweinburg FB (1959) The bacterial factor in traumatic shock. N Engl J Med 260:214–220PubMedCrossRef
25.
go back to reference Chiu CJ, McArdle AH, Brown R, Scott HJ, Gurd FN (1970) Intestinal mucosal lesion in low-flow states. A morphological, hemodynamic, and metabolic appraisal. Arch Surg 101:478–483PubMed Chiu CJ, McArdle AH, Brown R, Scott HJ, Gurd FN (1970) Intestinal mucosal lesion in low-flow states. A morphological, hemodynamic, and metabolic appraisal. Arch Surg 101:478–483PubMed
26.
go back to reference Fink MP, Antonsson JB, Wang HL, Rothschild HR (1991) Increased intestinal permeability in endotoxic pigs. Mesenteric hypoperfusion as an etiologic factor. Arch Surg 126:211–218PubMed Fink MP, Antonsson JB, Wang HL, Rothschild HR (1991) Increased intestinal permeability in endotoxic pigs. Mesenteric hypoperfusion as an etiologic factor. Arch Surg 126:211–218PubMed
27.
go back to reference Matuschak GM, Rinaldo JE (1988) Organ interaction in the adult respiratory distress syndrome during sepsis: role of the liver in host defence. Chest 94:400–406PubMed Matuschak GM, Rinaldo JE (1988) Organ interaction in the adult respiratory distress syndrome during sepsis: role of the liver in host defence. Chest 94:400–406PubMed
28.
go back to reference Hatherill M, Tibby SM, Turner C, Ratnavel N, Murdoch IA (2000) Procalcitonin and cytokine levels: relationship to organ failure and mortality in pediatric septic shock. Crit Care Med 28:2591–2594PubMed Hatherill M, Tibby SM, Turner C, Ratnavel N, Murdoch IA (2000) Procalcitonin and cytokine levels: relationship to organ failure and mortality in pediatric septic shock. Crit Care Med 28:2591–2594PubMed
29.
go back to reference Hotchkiss RS, Karl IE (2003) The pathophysiology and treatment of sepsis. N Engl J Med 348:138–150PubMed Hotchkiss RS, Karl IE (2003) The pathophysiology and treatment of sepsis. N Engl J Med 348:138–150PubMed
30.
go back to reference Hotchkiss RS, Swanson PE, Freeman BD, et al (1999) Apoptotic cell death in patients with sepsis, shock, and multiple organ dysfunction. Crit Care Med 27:1230–1251PubMed Hotchkiss RS, Swanson PE, Freeman BD, et al (1999) Apoptotic cell death in patients with sepsis, shock, and multiple organ dysfunction. Crit Care Med 27:1230–1251PubMed
31.
go back to reference Knaus WA, Draper EA, Wagner DP, Zimmerman JE (1985) Prognosis in acute organ-system failure. Ann Surg 202:685–693PubMed Knaus WA, Draper EA, Wagner DP, Zimmerman JE (1985) Prognosis in acute organ-system failure. Ann Surg 202:685–693PubMed
32.
go back to reference Le Gall JR, Lemeshow S, Saulnier F (1993) A new Simplified Acute Physiology Score (SAPS II) based on a European/North American multicenter study. JAMA 270:2957–2963PubMed Le Gall JR, Lemeshow S, Saulnier F (1993) A new Simplified Acute Physiology Score (SAPS II) based on a European/North American multicenter study. JAMA 270:2957–2963PubMed
33.
go back to reference Lemeshow S, Klar J, Teres D, Avrunin JS, Gehlbach SH, Rapoport J, Rue M (1994) Mortality probability models for patients in the intensive care unit for 48 or 72 hours: a prospective, multicenter study. Crit Care Med 22:1351–1358PubMed Lemeshow S, Klar J, Teres D, Avrunin JS, Gehlbach SH, Rapoport J, Rue M (1994) Mortality probability models for patients in the intensive care unit for 48 or 72 hours: a prospective, multicenter study. Crit Care Med 22:1351–1358PubMed
34.
go back to reference Knaus WA, Wagner DP, Draper EA, Zimmerman JE, Bergner M, Bastos PG, Sirio CA, Murphy DJ, Lotring T, Damiano A (1991) The APACHE III prognostic system. Risk prediction of hospital mortality for critically ill hospitalized adults. Chest 100:1619–1636PubMed Knaus WA, Wagner DP, Draper EA, Zimmerman JE, Bergner M, Bastos PG, Sirio CA, Murphy DJ, Lotring T, Damiano A (1991) The APACHE III prognostic system. Risk prediction of hospital mortality for critically ill hospitalized adults. Chest 100:1619–1636PubMed
35.
go back to reference Moreno R, Morais P (1997) Outcome prediction in intensive care: results of a prospective, multicentre Portuguese study. Intensive Care Med 23:177–186PubMed Moreno R, Morais P (1997) Outcome prediction in intensive care: results of a prospective, multicentre Portuguese study. Intensive Care Med 23:177–186PubMed
36.
go back to reference Moreno R, Vincent JL, Matos R, Mendonca A, Cantraine F, Thijs L, Takala J, Sprung C, Antonelli M, Bruining H, Willatts S (1999) The use of maximum SOFA score to quantify organ dysfunction/failure in intensive care. Results of a prospective, multicentre study. Intensive Care Med 25:686–696PubMed Moreno R, Vincent JL, Matos R, Mendonca A, Cantraine F, Thijs L, Takala J, Sprung C, Antonelli M, Bruining H, Willatts S (1999) The use of maximum SOFA score to quantify organ dysfunction/failure in intensive care. Results of a prospective, multicentre study. Intensive Care Med 25:686–696PubMed
37.
go back to reference Ferreira FL, Bota DP, Bross A, Melot C, Vincent JL (2001) Serial evaluation of the SOFA score to predict outcome in critically ill patients. JAMA 286:1754–1758PubMed Ferreira FL, Bota DP, Bross A, Melot C, Vincent JL (2001) Serial evaluation of the SOFA score to predict outcome in critically ill patients. JAMA 286:1754–1758PubMed
38.
go back to reference Joly HR, Weil MH (1969) Temperature of the great toe as an indication of the severity of shock. Circulation 39:131–138PubMed Joly HR, Weil MH (1969) Temperature of the great toe as an indication of the severity of shock. Circulation 39:131–138PubMed
39.
go back to reference Yoshiya I, Shimada Y, Tanaka K (1980) Spectrophotometric monitoring of arterial oxygen saturation at the fingertip. Med Biol Eng Comput 18:27–32PubMed Yoshiya I, Shimada Y, Tanaka K (1980) Spectrophotometric monitoring of arterial oxygen saturation at the fingertip. Med Biol Eng Comput 18:27–32PubMed
40.
go back to reference Lundberg N, Troupp H, Lorin H (1965) Continuous recording of the ventricular-fluid pressure in patients with severe acute traumatic brain injury. J Neurosurg 22:581–590PubMed Lundberg N, Troupp H, Lorin H (1965) Continuous recording of the ventricular-fluid pressure in patients with severe acute traumatic brain injury. J Neurosurg 22:581–590PubMed
41.
go back to reference Gutierrez G, Palizas F, Doglio G, Wainsztein N, Gallesio A, Pacin J, Dubin A, Schiavi E, Jorge M, Pusajo J (1992) Gastric intramucosal pH as a therapeutic index of tissue oxygenation in critically ill patients. Lancet 339:195–199PubMed Gutierrez G, Palizas F, Doglio G, Wainsztein N, Gallesio A, Pacin J, Dubin A, Schiavi E, Jorge M, Pusajo J (1992) Gastric intramucosal pH as a therapeutic index of tissue oxygenation in critically ill patients. Lancet 339:195–199PubMed
42.
go back to reference Bakker J, Gris P, Coffernils M, Kahn RJ, Vincent JL (1996) Serial blood lactate levels can predict the development of multiple organ failure following septic shock. Am J Surg 171:221–226PubMed Bakker J, Gris P, Coffernils M, Kahn RJ, Vincent JL (1996) Serial blood lactate levels can predict the development of multiple organ failure following septic shock. Am J Surg 171:221–226PubMed
43.
go back to reference Dellinger RP, Carlet JM, Masur H, Gerlach H, Calandra T, Cohen J, Gea-Banacloche J, Keh D, Marshall JC, Parker MM, Ramsay G, Zimmerman JL, Vincent JL, Levy MM (2004) Surviving Sepsis Campaign guidelines for management of severe sepsis and septic shock. Crit Care Med 32:858–873PubMed Dellinger RP, Carlet JM, Masur H, Gerlach H, Calandra T, Cohen J, Gea-Banacloche J, Keh D, Marshall JC, Parker MM, Ramsay G, Zimmerman JL, Vincent JL, Levy MM (2004) Surviving Sepsis Campaign guidelines for management of severe sepsis and septic shock. Crit Care Med 32:858–873PubMed
44.
go back to reference Khalil HH, Richardson TQ, Guyton AC (1966) Measurement of cardiac output by thermal dilution and direct Fick method in dogs. J Appl Physiol 21:1131–1135PubMed Khalil HH, Richardson TQ, Guyton AC (1966) Measurement of cardiac output by thermal dilution and direct Fick method in dogs. J Appl Physiol 21:1131–1135PubMed
45.
go back to reference Branthwaite MA, Bradley RD (1968) Measurement of cardiac output by thermal dilution in man. J Appl Physiol 24:434–438PubMed Branthwaite MA, Bradley RD (1968) Measurement of cardiac output by thermal dilution in man. J Appl Physiol 24:434–438PubMed
46.
go back to reference Swan HJ, Ganz W, Forrester J, Marcus H, Diamond G, Chonette D (1970) Catheterisation of the heart in man with use of a flow directed balloon-tipped catheter. N Engl J Med 283:447–451PubMedCrossRef Swan HJ, Ganz W, Forrester J, Marcus H, Diamond G, Chonette D (1970) Catheterisation of the heart in man with use of a flow directed balloon-tipped catheter. N Engl J Med 283:447–451PubMedCrossRef
47.
go back to reference Connors AF Jr, Speroff T, Dawson NV, Thomas C, Harrell FE Jr, Wagner D, Desbiens N, Goldman L, Wu AW, Califf RM, Fulkerson WJ Jr, Vidaillet H, Broste S, Bellamy P, Lynn J, Knaus WA (1996) The effectiveness of right heart catheterisation in the initial care of critically ill patients. SUPPORT investigators. JAMA 276:889–897PubMed Connors AF Jr, Speroff T, Dawson NV, Thomas C, Harrell FE Jr, Wagner D, Desbiens N, Goldman L, Wu AW, Califf RM, Fulkerson WJ Jr, Vidaillet H, Broste S, Bellamy P, Lynn J, Knaus WA (1996) The effectiveness of right heart catheterisation in the initial care of critically ill patients. SUPPORT investigators. JAMA 276:889–897PubMed
48.
go back to reference Matthay MA, Chatterjee K (1988) Bedside catheterisation of the pulmonary artery: risks compared with benefits. Ann Intern Med 109:826–834PubMed Matthay MA, Chatterjee K (1988) Bedside catheterisation of the pulmonary artery: risks compared with benefits. Ann Intern Med 109:826–834PubMed
49.
go back to reference Linton RA, Band DM, Haire KM (1993) A new method of measuring cardiac output in man using lithium dilution. Br J Anaesth 71:262–266PubMed Linton RA, Band DM, Haire KM (1993) A new method of measuring cardiac output in man using lithium dilution. Br J Anaesth 71:262–266PubMed
50.
go back to reference Orme RM, L'EPigott DW, Mihm FG (2004) Measurement of cardiac output by transpulmonary arterial thermodilution using a long radial artery catheter. A comparison with intermittent pulmonary artery thermodilution. Anaesthesia 59:590–594PubMed Orme RM, L'EPigott DW, Mihm FG (2004) Measurement of cardiac output by transpulmonary arterial thermodilution using a long radial artery catheter. A comparison with intermittent pulmonary artery thermodilution. Anaesthesia 59:590–594PubMed
51.
go back to reference Singer M, Clarke J, Bennett ED (1989) Continuous haemodynamic monitoring by esophageal Doppler. Crit Care Med 17:447–452PubMed Singer M, Clarke J, Bennett ED (1989) Continuous haemodynamic monitoring by esophageal Doppler. Crit Care Med 17:447–452PubMed
52.
go back to reference Vieillard-Baron A, Prin S, Chergui K, Dubourg O, Jardin F (2003) Hemodynamic instability in sepsis: bedside assessment by Doppler echocardiography. Am J Respir Crit Care Med 168:1270–1276PubMed Vieillard-Baron A, Prin S, Chergui K, Dubourg O, Jardin F (2003) Hemodynamic instability in sepsis: bedside assessment by Doppler echocardiography. Am J Respir Crit Care Med 168:1270–1276PubMed
53.
go back to reference Armstrong RF, Walker JS, Andrew DS, Cobbe SM, Cohen SL, Lincoln JC (1978) Continuous monitoring of mixed venous oxygen tension (PvO2) in cardiorespiratory disorders. Lancet I:632–634 Armstrong RF, Walker JS, Andrew DS, Cobbe SM, Cohen SL, Lincoln JC (1978) Continuous monitoring of mixed venous oxygen tension (PvO2) in cardiorespiratory disorders. Lancet I:632–634
54.
go back to reference Reinhart K, Kuhn HJ, Hartog C, Bredle DL (2004) Continuous central venous and pulmonary artery oxygen saturation monitoring in the critically ill. Intensive Care Med 30:1572–1578PubMed Reinhart K, Kuhn HJ, Hartog C, Bredle DL (2004) Continuous central venous and pulmonary artery oxygen saturation monitoring in the critically ill. Intensive Care Med 30:1572–1578PubMed
55.
go back to reference Rady MY, Rivers EP, Nowak RM (1996) Resuscitation of the critically ill in the ED: responses of blood pressure, heart rate, shock index, central venous oxygen saturation, and lactate. Am J Emerg Med 14:218–25PubMed Rady MY, Rivers EP, Nowak RM (1996) Resuscitation of the critically ill in the ED: responses of blood pressure, heart rate, shock index, central venous oxygen saturation, and lactate. Am J Emerg Med 14:218–25PubMed
56.
go back to reference Rivers E, Nguyen B, Havstad S, Ressler J, Muzzin A, Knoblich B, Peterson E, Tomlanovich M (2001) Early goal-directed therapy in the treatment of severe sepsis and septic shock. N Engl J Med 345:1368–1377PubMed Rivers E, Nguyen B, Havstad S, Ressler J, Muzzin A, Knoblich B, Peterson E, Tomlanovich M (2001) Early goal-directed therapy in the treatment of severe sepsis and septic shock. N Engl J Med 345:1368–1377PubMed
57.
go back to reference Weil MH, Shubin H, Biddle M (1964) Shock caused by Gram-negative organisms: analysis of 169 cases. Ann Intern Med 60:384–400PubMed Weil MH, Shubin H, Biddle M (1964) Shock caused by Gram-negative organisms: analysis of 169 cases. Ann Intern Med 60:384–400PubMed
58.
go back to reference Ibrahim EH, Sherman G, Ward S, Fraser VJ, Kollef MH (2000) The influence of inadequate antimicrobial treatment of bloodstream infections on patient outcomes in the ICU setting. Chest 118:146–155PubMed Ibrahim EH, Sherman G, Ward S, Fraser VJ, Kollef MH (2000) The influence of inadequate antimicrobial treatment of bloodstream infections on patient outcomes in the ICU setting. Chest 118:146–155PubMed
59.
go back to reference MacArthur RD, Miller M, Albertson T, Panacek E, Johnson D, Teoh L, Barchuk W (2004) Adequacy of early empiric antibiotic treatment and survival in severe sepsis: experience from the MONARCS trial. Clin Infect Dis 38:284–288PubMed MacArthur RD, Miller M, Albertson T, Panacek E, Johnson D, Teoh L, Barchuk W (2004) Adequacy of early empiric antibiotic treatment and survival in severe sepsis: experience from the MONARCS trial. Clin Infect Dis 38:284–288PubMed
60.
go back to reference MacLean LD, Mulligan WG, McLean APH, Duff JH (1967) Patterns of septic shock in man—a detailed study of 56 patients. Ann Surg 166:543–562PubMed MacLean LD, Mulligan WG, McLean APH, Duff JH (1967) Patterns of septic shock in man—a detailed study of 56 patients. Ann Surg 166:543–562PubMed
61.
go back to reference Cochrane Injuries Group Albumin Reviewers (1998) Human albumin administration in critically ill patients: systematic review of randomised controlled trials. BMJ 317:235–240 Cochrane Injuries Group Albumin Reviewers (1998) Human albumin administration in critically ill patients: systematic review of randomised controlled trials. BMJ 317:235–240
62.
go back to reference Choi PT, Yip G, Quinonez LG, Cook DJ (1999) Crystalloids vs. colloids in fluid resuscitation: a systematic review. Crit Care Med 27:200–210PubMed Choi PT, Yip G, Quinonez LG, Cook DJ (1999) Crystalloids vs. colloids in fluid resuscitation: a systematic review. Crit Care Med 27:200–210PubMed
63.
go back to reference Finfer S, Bellomo R, Boyce N, French J, Myburgh J, Norton R; SAFE Study Investigators (2004) A comparison of albumin and saline for fluid resuscitation in the intensive care unit. N Engl J Med 350:2247–2256PubMed Finfer S, Bellomo R, Boyce N, French J, Myburgh J, Norton R; SAFE Study Investigators (2004) A comparison of albumin and saline for fluid resuscitation in the intensive care unit. N Engl J Med 350:2247–2256PubMed
64.
go back to reference American Thoracic Society (2004) Evidence based colloid use in the critically ill. American Thoracic Society consensus statement. Am J Respir Crit Care Med 170:1247–1259 American Thoracic Society (2004) Evidence based colloid use in the critically ill. American Thoracic Society consensus statement. Am J Respir Crit Care Med 170:1247–1259
65.
go back to reference Shoemaker WC, Appel PL, Kram HB (1986) Hemodynamic and oxygen transport effects in critically ill general surgical patients. Crit Care Med 14:1032–1037PubMedCrossRef Shoemaker WC, Appel PL, Kram HB (1986) Hemodynamic and oxygen transport effects in critically ill general surgical patients. Crit Care Med 14:1032–1037PubMedCrossRef
66.
go back to reference Shoemaker WC, Appel PL, Kram HB, Waxman K, Lee TS (1988) Prospective trial of supranormal values of survivors as therapeutic goals in high risk surgical patients. Chest 94:1176–1186PubMed Shoemaker WC, Appel PL, Kram HB, Waxman K, Lee TS (1988) Prospective trial of supranormal values of survivors as therapeutic goals in high risk surgical patients. Chest 94:1176–1186PubMed
67.
go back to reference Boyd O, Grounds RM, Bennett ED (1993) A randomized clinical trial of the effect of deliberate perioperative increase of oxygen delivery on mortality in high risk surgical patients. JAMA 270:2699–2707PubMed Boyd O, Grounds RM, Bennett ED (1993) A randomized clinical trial of the effect of deliberate perioperative increase of oxygen delivery on mortality in high risk surgical patients. JAMA 270:2699–2707PubMed
68.
go back to reference Hayes MA, Timmins AC, Yau EH, Palazzo M, Hinds CJ, Watson D (1994) Elevation of systemic oxygen delivery in the treatment of critically ill patients. N Engl J Med 330:1717–1722PubMed Hayes MA, Timmins AC, Yau EH, Palazzo M, Hinds CJ, Watson D (1994) Elevation of systemic oxygen delivery in the treatment of critically ill patients. N Engl J Med 330:1717–1722PubMed
69.
go back to reference Gattinoni L, Brazzi L, Pelosi P, Latini R, Tognoni G, Pesenti A, Fumagalli R (1995) A trial of goal-oriented hemodynamic therapy in critically ill patients. N Engl J Med 333:1025–1032PubMed Gattinoni L, Brazzi L, Pelosi P, Latini R, Tognoni G, Pesenti A, Fumagalli R (1995) A trial of goal-oriented hemodynamic therapy in critically ill patients. N Engl J Med 333:1025–1032PubMed
70.
go back to reference Webb HH, Tierney DF (1974) Experimental pulmonary oedema due to intermittent positive pressure ventilation with high inflation pressures. Protection by positive end-expiratory pressure. Am Rev Respir Dis 110:556–565PubMed Webb HH, Tierney DF (1974) Experimental pulmonary oedema due to intermittent positive pressure ventilation with high inflation pressures. Protection by positive end-expiratory pressure. Am Rev Respir Dis 110:556–565PubMed
71.
go back to reference Dreyfuss D, Soler P, Basset G, Saumon G (1988) High Inflation pressure pulmonary edema. Respective effects of high airway pressure, high tidal volume, and positive end-expiratory pressure. Am Rev Respir Dis 137:1159–1164PubMed Dreyfuss D, Soler P, Basset G, Saumon G (1988) High Inflation pressure pulmonary edema. Respective effects of high airway pressure, high tidal volume, and positive end-expiratory pressure. Am Rev Respir Dis 137:1159–1164PubMed
72.
go back to reference Hickling KG, Henderson SJ, Jackson R (1990) Low mortality associated with low volume pressure limited ventilation with permissive hypercapnia in severe adult respiratory distress syndrome. Intensive Care Med 16:372–377PubMed Hickling KG, Henderson SJ, Jackson R (1990) Low mortality associated with low volume pressure limited ventilation with permissive hypercapnia in severe adult respiratory distress syndrome. Intensive Care Med 16:372–377PubMed
73.
go back to reference Acute Respiratory Distress Syndrome Network (2000) Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. N Engl J Med 342:1301–1308 Acute Respiratory Distress Syndrome Network (2000) Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. N Engl J Med 342:1301–1308
74.
go back to reference Meduri GU, Headley AS, Golden E, Carson SJ, Umberger RA, Kelso T, Tolley EA (1998) Effect of prolonged methylprednisolone therapy in unresolving acute respiratory distress syndrome: a randomised controlled trial. JAMA 280:159–165PubMed Meduri GU, Headley AS, Golden E, Carson SJ, Umberger RA, Kelso T, Tolley EA (1998) Effect of prolonged methylprednisolone therapy in unresolving acute respiratory distress syndrome: a randomised controlled trial. JAMA 280:159–165PubMed
75.
go back to reference Kramer P, Kaufhold G, Grone HJ, Wigger W, Rieger J, Matthaei D, Stokke T, Burchardi H, Scheler F (1980) Management of anuric intensive care patients with arteriovenous hemofiltration. Int J Artif Organs 3:225–230PubMed Kramer P, Kaufhold G, Grone HJ, Wigger W, Rieger J, Matthaei D, Stokke T, Burchardi H, Scheler F (1980) Management of anuric intensive care patients with arteriovenous hemofiltration. Int J Artif Organs 3:225–230PubMed
76.
go back to reference Rasmussen HH, Ibels LS (1982) Acute renal failure; a multivariate analysis of causes and risk factors. Am J Med 73:211–218PubMed Rasmussen HH, Ibels LS (1982) Acute renal failure; a multivariate analysis of causes and risk factors. Am J Med 73:211–218PubMed
77.
go back to reference Levy EM, Viscoli CM, Horowitz RI (1996) The effect of acute renal failure on mortality: a cohort analysis. JAMA 275:1489–1494PubMed Levy EM, Viscoli CM, Horowitz RI (1996) The effect of acute renal failure on mortality: a cohort analysis. JAMA 275:1489–1494PubMed
78.
go back to reference Angus DC, Linde-Zwirble WT, Lidicker J, Clermont G, Carcillo J, Pinsky MR (2001) Epidemiology of severe sepsis in the United States: analysis of incidence, outcome, and associated costs of care. Crit Care Med 29:1303–1310PubMed Angus DC, Linde-Zwirble WT, Lidicker J, Clermont G, Carcillo J, Pinsky MR (2001) Epidemiology of severe sepsis in the United States: analysis of incidence, outcome, and associated costs of care. Crit Care Med 29:1303–1310PubMed
79.
go back to reference Brivet FG, Kleinknecht DJ, Loirat P, Landais PJ (1996) Acute renal failure in intensive are units-causes, outcome, and prognostic factors for hospital mortality. Crit Care Med 24:192–198PubMed Brivet FG, Kleinknecht DJ, Loirat P, Landais PJ (1996) Acute renal failure in intensive are units-causes, outcome, and prognostic factors for hospital mortality. Crit Care Med 24:192–198PubMed
80.
go back to reference Goldberg LI, Mcdonald RH, Zimmerman AM (1963) Sodium diuresis produced by dopamine in patients with congestive heart failure. N Engl J Med 263:1060–1064CrossRef Goldberg LI, Mcdonald RH, Zimmerman AM (1963) Sodium diuresis produced by dopamine in patients with congestive heart failure. N Engl J Med 263:1060–1064CrossRef
81.
go back to reference Australia and New Zealand Intensive Care Society (ANZICS) Clinical Trials group (2000) Low dose dopamaine in patients with early renal dysfunction: a placebo-controlled randomised trial. Lancet 356:2139–2143 Australia and New Zealand Intensive Care Society (ANZICS) Clinical Trials group (2000) Low dose dopamaine in patients with early renal dysfunction: a placebo-controlled randomised trial. Lancet 356:2139–2143
82.
go back to reference Schiffl H, Lang SM, Fischer R (2002) Daily hemodialysis and the outcome of acute renal failure. N Engl J Med 346:305–310PubMed Schiffl H, Lang SM, Fischer R (2002) Daily hemodialysis and the outcome of acute renal failure. N Engl J Med 346:305–310PubMed
83.
go back to reference Ronco C, Bellomo R, Homel P, Brendolan A, Dan M, Piccinni P, La Greca G (2000) Effects of different doses in continuous venovenous haemofiltration on outcomes of acute renal failure: a prospective randomised trial. Lancet 356:26–30PubMed Ronco C, Bellomo R, Homel P, Brendolan A, Dan M, Piccinni P, La Greca G (2000) Effects of different doses in continuous venovenous haemofiltration on outcomes of acute renal failure: a prospective randomised trial. Lancet 356:26–30PubMed
84.
go back to reference Weil MH, Shubin H, Biddle M (1964) Shock caused by Gram-negative micro-organisms: analysis of 169 cases. Ann Intern Med 60:384–400PubMed Weil MH, Shubin H, Biddle M (1964) Shock caused by Gram-negative micro-organisms: analysis of 169 cases. Ann Intern Med 60:384–400PubMed
85.
go back to reference Schumer W (1976) Steroids in the treatment of clinical septic shock. Ann Surg 184:333–341PubMed Schumer W (1976) Steroids in the treatment of clinical septic shock. Ann Surg 184:333–341PubMed
86.
go back to reference Bone RC, Fisher CJ Jr, Clemmer TP, Slotman GJ, Metz CA, Balk RA (1987) A controlled clinical trial of high-dose methylprednisolone in the treatment of severe sepsis and septic shock. N Engl J Med 317:653–658PubMedCrossRef Bone RC, Fisher CJ Jr, Clemmer TP, Slotman GJ, Metz CA, Balk RA (1987) A controlled clinical trial of high-dose methylprednisolone in the treatment of severe sepsis and septic shock. N Engl J Med 317:653–658PubMedCrossRef
87.
go back to reference Sprung CL, Caralis PV, Marcial EH, Pierce M, Gelbard MA, Long WM, Duncan RC, Tendler MD, Karpf M (1984) The effects of high-dose corticosteroids in patients with septic shock. N Engl J Med 311:1137–1143PubMedCrossRef Sprung CL, Caralis PV, Marcial EH, Pierce M, Gelbard MA, Long WM, Duncan RC, Tendler MD, Karpf M (1984) The effects of high-dose corticosteroids in patients with septic shock. N Engl J Med 311:1137–1143PubMedCrossRef
88.
go back to reference Bollaert PE, Charpentier C, Levy B, Debouverie M, Audibert G, Larcan A (1998) Reversal of late septic shock with supraphysiologic doses of hydrocortisone. Crit Care Med 26:645–650PubMed Bollaert PE, Charpentier C, Levy B, Debouverie M, Audibert G, Larcan A (1998) Reversal of late septic shock with supraphysiologic doses of hydrocortisone. Crit Care Med 26:645–650PubMed
89.
go back to reference Annane D, Sebille V, Troche G, Raphael JC, Gajdos P, Bellissant E (2000) A 3-level prognostic classification in septic shock based on cortisol levels and cortisol response to corticotropin. JAMA 283:1038–1045PubMed Annane D, Sebille V, Troche G, Raphael JC, Gajdos P, Bellissant E (2000) A 3-level prognostic classification in septic shock based on cortisol levels and cortisol response to corticotropin. JAMA 283:1038–1045PubMed
90.
go back to reference Annane D, Sebille V, Charpentier C, Bollaert PE, Francois B, Korach JM, Capellier G, Cohen Y, Azoulay E, Troche G, Chaumet-Riffaut P, Bellissant E (2002) Effect of treatment with low doses of hydrocortisone and fludrocortisone on mortality in patients with septic shock. JAMA 288:862–871PubMed Annane D, Sebille V, Charpentier C, Bollaert PE, Francois B, Korach JM, Capellier G, Cohen Y, Azoulay E, Troche G, Chaumet-Riffaut P, Bellissant E (2002) Effect of treatment with low doses of hydrocortisone and fludrocortisone on mortality in patients with septic shock. JAMA 288:862–871PubMed
91.
go back to reference van den Berghe G, Wouters P, Weekers F, Verwaest C, Bruyninckx F, Schetz M, Vlasselaers D, Ferdinande P, Lauwers P, Bouillon R (2001) Intensive insulin therapy in the critically ill patients. N Engl J Med 345:1359–1367PubMed van den Berghe G, Wouters P, Weekers F, Verwaest C, Bruyninckx F, Schetz M, Vlasselaers D, Ferdinande P, Lauwers P, Bouillon R (2001) Intensive insulin therapy in the critically ill patients. N Engl J Med 345:1359–1367PubMed
92.
go back to reference Finney SJ, Zekveld C, Elia A, Evans TW (2003) Glucose control and mortality in critically ill patients. JAMA 2041–2047 Finney SJ, Zekveld C, Elia A, Evans TW (2003) Glucose control and mortality in critically ill patients. JAMA 2041–2047
93.
go back to reference Levi M, ten Cate B (1999) Disseminated intravascular coagulation. N Engl J Med 341:586–592PubMed Levi M, ten Cate B (1999) Disseminated intravascular coagulation. N Engl J Med 341:586–592PubMed
94.
go back to reference Yan SB, Helterbrand JD, Hartman DL, Wright TJ, Bernard GR (2001) Low levels of protein C are associated with poor outcomes in sepsis. Chest 120:915–922PubMed Yan SB, Helterbrand JD, Hartman DL, Wright TJ, Bernard GR (2001) Low levels of protein C are associated with poor outcomes in sepsis. Chest 120:915–922PubMed
95.
go back to reference Bernard GR, Vincent JL, Laterre PF, LaRosa SP, Dhainaut JF, Lopez-Rodriguez A, Steingrub JS, Garber GE, Helterbrand JD, Ely EW, Fisher CJ Jr; Recombinant human protein C Worldwide Evaluation in Severe Sepsis (PROWESS) study group (2001) Recombinant Human Protein C Worldwide Evaluation in Severe Sepsis (PROWESS) study group. Efficacy and safety of recombinant human activated protein C for severe sepsis. N Engl J Med 344:699–709PubMed Bernard GR, Vincent JL, Laterre PF, LaRosa SP, Dhainaut JF, Lopez-Rodriguez A, Steingrub JS, Garber GE, Helterbrand JD, Ely EW, Fisher CJ Jr; Recombinant human protein C Worldwide Evaluation in Severe Sepsis (PROWESS) study group (2001) Recombinant Human Protein C Worldwide Evaluation in Severe Sepsis (PROWESS) study group. Efficacy and safety of recombinant human activated protein C for severe sepsis. N Engl J Med 344:699–709PubMed
96.
go back to reference Vincent JL (2003) Effects of drotrecogin alfa (activated) on organ dysfunction in the PROWESS Trial. Crit Care Med 31:834–840PubMed Vincent JL (2003) Effects of drotrecogin alfa (activated) on organ dysfunction in the PROWESS Trial. Crit Care Med 31:834–840PubMed
97.
go back to reference Warren BL, Eid A, Singer P, Pillay SS, Carl P, Novak I, Chalupa P, Atherstone A, Penzes I, Kubler A, Knaub S, Keinecke HO, Heinrichs H, Schindel F, Juers M, Bone RC, Opal SM; KyberSept Trial Study Group (2001) Caring for the critically ill patient. High-dose antithrombin III in severe sepsis: a randomized controlled trial. JAMA 286:1869–1878PubMed Warren BL, Eid A, Singer P, Pillay SS, Carl P, Novak I, Chalupa P, Atherstone A, Penzes I, Kubler A, Knaub S, Keinecke HO, Heinrichs H, Schindel F, Juers M, Bone RC, Opal SM; KyberSept Trial Study Group (2001) Caring for the critically ill patient. High-dose antithrombin III in severe sepsis: a randomized controlled trial. JAMA 286:1869–1878PubMed
98.
go back to reference Ziegler EJ, McCutchan JA, Fierer J, Glauser MP, Sadoff JC, Douglas H, Braude AI (1982) Treatment of gram-negative bacteremia and shock with human anti-serum to a mutant Escherichia coli. N Engl J Med 307:1225–1230PubMedCrossRef Ziegler EJ, McCutchan JA, Fierer J, Glauser MP, Sadoff JC, Douglas H, Braude AI (1982) Treatment of gram-negative bacteremia and shock with human anti-serum to a mutant Escherichia coli. N Engl J Med 307:1225–1230PubMedCrossRef
99.
go back to reference Ziegler EJ, Fisher CJ Jr, Sprung CL, Straube RC, Sadoff JC, Foulke GE, Wortel CH, Fink MP, Dellinger RP, Teng NN; HA-1A Sepsis Study Group (1991) Treatment of gram-negative bacteremia and septic shock with HA-1A human monoclonal antibody against endotoxin. A randomised, double blind placebo controlled trial. N Engl J Med 324:429–436PubMedCrossRef Ziegler EJ, Fisher CJ Jr, Sprung CL, Straube RC, Sadoff JC, Foulke GE, Wortel CH, Fink MP, Dellinger RP, Teng NN; HA-1A Sepsis Study Group (1991) Treatment of gram-negative bacteremia and septic shock with HA-1A human monoclonal antibody against endotoxin. A randomised, double blind placebo controlled trial. N Engl J Med 324:429–436PubMedCrossRef
100.
go back to reference Greenman RL, Schein RM, Martin MA, Wenzel RP, MacIntyre NR, Emmanuel G, Chmel H, Kohler RB, McCarthy M, Plouffe J; XOMA Sepsis Study Group (1991) A controlled clinical trial of E5 murine monoclonal IgM antibody to endotoxin in the treatment of gram-negative sepsis. JAMA 266:1097–1102PubMed Greenman RL, Schein RM, Martin MA, Wenzel RP, MacIntyre NR, Emmanuel G, Chmel H, Kohler RB, McCarthy M, Plouffe J; XOMA Sepsis Study Group (1991) A controlled clinical trial of E5 murine monoclonal IgM antibody to endotoxin in the treatment of gram-negative sepsis. JAMA 266:1097–1102PubMed
101.
go back to reference Abraham E, Wunderink R, Silverman H, Perl TM, Nasraway S, Levy H, Bone R, Wenzel RP, Balk R, Allred R (1995) Efficacy and safety of monoclonal antibody to human tumor necrosis factor alpha in patients with sepsis syndrome. A randomized, controlled, double-blind, multicenter clinical trial. TNF-alpha MAb Sepsis Study Group. JAMA 273:934–941PubMed Abraham E, Wunderink R, Silverman H, Perl TM, Nasraway S, Levy H, Bone R, Wenzel RP, Balk R, Allred R (1995) Efficacy and safety of monoclonal antibody to human tumor necrosis factor alpha in patients with sepsis syndrome. A randomized, controlled, double-blind, multicenter clinical trial. TNF-alpha MAb Sepsis Study Group. JAMA 273:934–941PubMed
102.
go back to reference Cohen J, Carlet J (1996) INTERSEPT: an international, multicenter, placebo-controlled trial of monoclonal antibody to human tumor necrosis factor-alpha in patients with sepsis. International Sepsis Trial Study Group. Crit Care Med 24:1431–1440PubMed Cohen J, Carlet J (1996) INTERSEPT: an international, multicenter, placebo-controlled trial of monoclonal antibody to human tumor necrosis factor-alpha in patients with sepsis. International Sepsis Trial Study Group. Crit Care Med 24:1431–1440PubMed
103.
go back to reference Abraham E, Anzueto A, Gutierrez G, Tessler S, San Pedro G, Wunderink R, Dal Nogare A, Nasraway S, Berman S, Cooney R, Levy H, Baughman R, Rumbak M, Light RB, Poole L, Allred R, Constant J, Pennington J, Porter S (1998) Double blind randomised controlled trial of monoclonal antibody to human tumor necrosis factor in the treatment of septic shock. NORASEPT II Study Group. Lancet 351:929–933PubMed Abraham E, Anzueto A, Gutierrez G, Tessler S, San Pedro G, Wunderink R, Dal Nogare A, Nasraway S, Berman S, Cooney R, Levy H, Baughman R, Rumbak M, Light RB, Poole L, Allred R, Constant J, Pennington J, Porter S (1998) Double blind randomised controlled trial of monoclonal antibody to human tumor necrosis factor in the treatment of septic shock. NORASEPT II Study Group. Lancet 351:929–933PubMed
104.
go back to reference Panacek EA, Marshall JC, Albertson TE, Johnson DH, Johnson S, MacArthur RD, Miller M, Barchuk WT, Fischkoff S, Kaul M, Teoh L, Van Meter L, Daum L, Lemeshow S, Hicklin G, Doig C; Monoclonal Anti-TNF Randomized Controlled Sepsis Study Investigators (2004) Efficacy and safety of the monoclonal anti-tumor necrosis factor antibody F(ab')2 fragment afelimomab in patients with severe sepsis and elevated interleukin-6 levels. Crit Care Med 32:2173–2182PubMed Panacek EA, Marshall JC, Albertson TE, Johnson DH, Johnson S, MacArthur RD, Miller M, Barchuk WT, Fischkoff S, Kaul M, Teoh L, Van Meter L, Daum L, Lemeshow S, Hicklin G, Doig C; Monoclonal Anti-TNF Randomized Controlled Sepsis Study Investigators (2004) Efficacy and safety of the monoclonal anti-tumor necrosis factor antibody F(ab')2 fragment afelimomab in patients with severe sepsis and elevated interleukin-6 levels. Crit Care Med 32:2173–2182PubMed
105.
go back to reference Marshall JC (2003) Much stuff as dreams are made on: mediator directed therapy in sepsis. Nat Rev Drug Discov 2:391–395PubMed Marshall JC (2003) Much stuff as dreams are made on: mediator directed therapy in sepsis. Nat Rev Drug Discov 2:391–395PubMed
106.
go back to reference Abraham E, Matthay MA, Dinarello CA, Vincent JL, Cohen J, Opal SM, Glauser M, Parsons P, Fisher CJ Jr, Repine JE (2000) Consensus conference definitions for sepsis, septic shock, acute lung injury, and acute respiratory distress syndrome: time for a reevaluation. Crit Care Med 28:232–235PubMed Abraham E, Matthay MA, Dinarello CA, Vincent JL, Cohen J, Opal SM, Glauser M, Parsons P, Fisher CJ Jr, Repine JE (2000) Consensus conference definitions for sepsis, septic shock, acute lung injury, and acute respiratory distress syndrome: time for a reevaluation. Crit Care Med 28:232–235PubMed
107.
go back to reference Lopez A, Lorente JA, Steingrub J, Bakker J, McLuckie A, Willatts S, Brockway M, Anzueto A, Holzapfel L, Breen D, Silverman MS, Takala J, Donaldson J, Arneson C, Grove G, Grossman S, Grover R (2004) Multiple-center, randomised placebo-controlled, double-blind study of the nitric oxide synthase inhibitor 546C88: effect on survival in patients with septic shock. Crit Care Med 32:21–30PubMed Lopez A, Lorente JA, Steingrub J, Bakker J, McLuckie A, Willatts S, Brockway M, Anzueto A, Holzapfel L, Breen D, Silverman MS, Takala J, Donaldson J, Arneson C, Grove G, Grossman S, Grover R (2004) Multiple-center, randomised placebo-controlled, double-blind study of the nitric oxide synthase inhibitor 546C88: effect on survival in patients with septic shock. Crit Care Med 32:21–30PubMed
108.
go back to reference Marriott HL, Kerwick A (1935) Continuous drip blood transfusion. Lancet 1:977–981 Marriott HL, Kerwick A (1935) Continuous drip blood transfusion. Lancet 1:977–981
109.
go back to reference Hebert PC, Wells G, Blajchman MA, Marshall J, Martin C, Pagliarello G, Tweeddale M, Schweitzer I, Yetisir E; Transfusion Requirements in Critical Care Investigators, Canadian Critical Care Trials Group (1999) A multicenter, randomized, controlled clinical trial of transfusion requirements in critical care. N Engl J Med 340:409–17 (erratum: 340:1056)PubMed Hebert PC, Wells G, Blajchman MA, Marshall J, Martin C, Pagliarello G, Tweeddale M, Schweitzer I, Yetisir E; Transfusion Requirements in Critical Care Investigators, Canadian Critical Care Trials Group (1999) A multicenter, randomized, controlled clinical trial of transfusion requirements in critical care. N Engl J Med 340:409–17 (erratum: 340:1056)PubMed
110.
go back to reference Cook D, Guyatt G, Marshall J, Leasa D, Fuller H, Hall R, Peters S, Rutledge F, Griffith L, McLellan A, Wood G, Kirby A (1998) The Canadian Critical Care Trials Group. A comparison of sucralfate and ranitidine for the prevention of upper gastrointestinal bleeding in patients requiring mechanical ventilation. N Engl J Med 338:791–797PubMed Cook D, Guyatt G, Marshall J, Leasa D, Fuller H, Hall R, Peters S, Rutledge F, Griffith L, McLellan A, Wood G, Kirby A (1998) The Canadian Critical Care Trials Group. A comparison of sucralfate and ranitidine for the prevention of upper gastrointestinal bleeding in patients requiring mechanical ventilation. N Engl J Med 338:791–797PubMed
Metadata
Title
Organ dysfunction during sepsis
Authors
Suveer Singh
Timothy W. Evans
Publication date
01-03-2006
Publisher
Springer-Verlag
Published in
Intensive Care Medicine / Issue 3/2006
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-005-0038-9

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