Roundtable Debate: Controversies in the Management of the Septic Patient--Desperately Seeking Consensus
Authors
Waxman, Aaron B.Ward, Nicholas
Thompson, Taylor
Lilly, Craig M
Lisbon, Alan
Hill, Nicholas
Nasraway, Stanley A.
Heard, Stephen O.
Corwin, Howard
Levy, Mitchell
Document Type
Journal ArticlePublication Date
2005-08-20Keywords
Anti-Bacterial AgentsAnti-Infective Agents
Consensus
Diagnosis, Differential
Humans
Male
Middle Aged
Protein C
Recombinant Proteins
Resuscitation
Shock, Septic
Anesthesiology
Bacterial Infections and Mycoses
Life Sciences
Medicine and Health Sciences
Metadata
Show full item recordAbstract
Despite continuous advances in technologic and pharmacologic management, the mortality rate from septic shock remains high. Care of patients with sepsis includes measures to support the circulatory system and treat the underlying infection. There is a substantial body of knowledge indicating that fluid resuscitation, vasopressors, and antibiotics accomplish these goals. Recent clinical trials have provided new information on the addition of individual adjuvant therapies. Consensus on how current therapies should be prescribed is lacking. We present the reasoning and preferences of a group of intensivists who met to discuss the management of an actual case. The focus is on management, with emphasis on the criteria by which treatment decisions are made. It is clear from the discussion that there are areas where there is agreement and areas where opinions diverge. This presentation is intended to show how experienced intensivists apply clinical science to their practice of critical care medicine.Source
Crit Care. 2005 Aug 20;9(1):E1. Link to article on publisher's siteDOI
10.1186/cc2940Permanent Link to this Item
http://hdl.handle.net/20.500.14038/39501PubMed ID
15693960; 15693960Related Resources
Link to Article in PubMedae974a485f413a2113503eed53cd6c53
10.1186/cc2940