Title
Roundtable Debate: Controversies in the Management of the Septic Patient--Desperately Seeking Consensus
UMMS Affiliation
Department of Medicine; Department of Anesthesiology
Publication Date
2005-08-20
Document Type
Article
Subjects
Anti-Bacterial Agents; Anti-Infective Agents; Consensus; Diagnosis, Differential; Humans; Male; Middle Aged; Protein C; Recombinant Proteins; Resuscitation; Shock, Septic
Disciplines
Anesthesiology | Bacterial Infections and Mycoses | Life Sciences | Medicine and Health Sciences
Abstract
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.
DOI of Published Version
10.1186/cc2940
Source
Crit Care. 2005 Aug 20;9(1):E1. Link to article on publisher's site
Journal/Book/Conference Title
Critical care (London, England)
Related Resources
PubMed ID
15693960
Repository Citation
Waxman, Aaron B.; Ward, Nicholas; Thompson, Taylor; Lilly, Craig M.; Lisbon, Alan; Hill, Nicholas; Nasraway, Stanley A.; Heard, Stephen O.; Corwin, Howard; and Levy, Mitchell, "Roundtable Debate: Controversies in the Management of the Septic Patient--Desperately Seeking Consensus" (2005). Open Access Articles. 2297.
https://escholarship.umassmed.edu/oapubs/2297