Critical Care

Download The Sepsis Text by Jean-Louis Vincent, Jean Carlet, Steven M. Opal PDF

By Jean-Louis Vincent, Jean Carlet, Steven M. Opal

This textbook is written on the sunrise of a brand new period within the administration of sepsis. contemporary achievements within the medical administration of septic surprise are the end result of many years of uncomplicated and utilized examine through leading edge researchers and medical investigators all over the world. The contributing authors to this e-book have spearheaded a lot of this learn and the Editors have endeavored to create a textbook that's finished in nature whereas preserving a particular concentration upon the multitude of labor that constitutes the spectrum of sepsis examine together with: pathophysiology; tracking structures; normal help; microbial features; issues; and anti-sepsis remedies.

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Extra resources for The Sepsis Text

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In the EPIC study, published in 1995, based on data from 1417 ICUs in 17 Western European countries, Vincent et al. 6% with ICU acquired infection) [24]. 5 odds-ratio for mortality. These results are similar to those described before by Parrillo et al. in 1990, who found that when sepsis develops, mortality is close to 30%, reaching 50% in septic shock and up to 80% in the MODS/MOF syndrome [25]. This issue was studied also by the Outcome and Prognosis Working Groups of the Portuguese Society of Intensive Care and the Portuguese Society of Internal Medicine [26].

Bacterial products trigger the production of endogenous cytokines [1]. Tumor necrosis factor (TNF) and interleukin (IL)-l are pyrogens known to be released by macrophages during sepsis [4], which, through the production of prostaglandin and cyclic AMP, increase the baseline temperature by interacting with the thermoregulatory center of the hypothalamus [5]. Animal models suggest that fever protects the host species in sepsis. Classic studies Sepsis 15 with poikilotherms in the past have suggested the benefits of hyperthermia during sepsis.

27 Dinarello CA, Cannon JG, Wolff SM, et al. Tumor necrosis factor is an endogenous pyrogen and induces the production of interleukin-1. J Exp Med 1986; 163:1433-1446 Dinarello CA, Wolff SM. Pathogenesis of fever in man. N Engl J Med 1978; 298:607612 Kluger MJ, Ringler DH, Anuer MR. Fever and survival. Science 1975; 188:166-168 Vaughn LK, Veale WL, Cooper KE. Antipyresis: Its effect on mortality rate of bacterially infected rabbits (abstract). Fed Proc 1980; 39:1077 LeGall J, Lemeshow S,Leleu G, et al.

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