TY - JOUR
AU - Mann, Henry, J.
AB - Abstract Purpose. Four novel approaches to the management of sepsis are discussed. Summary. Drotrecogin alfa (activated) has FDA-approved labeling for use in the treatment of severe sepsis. Risk of bleeding and identification of the most suitable patients have been the major issues related to use of this drug. Tight glycemic control and early goal-directed therapy (EGDT) are promising supportive strategies. Both have challenged existing views regarding safe glucose levels and the usefulness of increased oxygen delivery in sepsis. The routine maintenance of euglycemia is resource intensive, however, and benefits during treatment of sepsis are unclear. Very early initiation of measures to optimize hemodynamic variables and the ability to identify patients with cryptic shock appear to be key reasons for successful EGDT. The use of corticosteroids for septic shock has been extensively researched and has provoked controversy. Selection of patients likely to benefit on the basis of relative adrenal insufficiency and prolonged treatment may account for recently observed positive results. A model for combining the four strategies is proposed. Conclusion. Novel strategies for treating sepsis include drotrecogin alfa (activated), tight glycemic control, EGDT, and low-dose corticosteroids. Antiinflammatory agents, Drotrecogin alfa, Gases, Models, Oxygen, Sepsis, Steroids, cortico, Toxicity This content is only available as a PDF. Author notes This is article 204-000-04-007-H01 in the ASHP Continuing Education System; it qualifies for 1.5 hours of continuing-education credit. See page 775 or http://ce.ashp.org for the learning objectives, test questions, and instructions. Copyright © 2004 American Society of Health-System Pharmacists, Inc. All rights reserved.
TI - Appraisal of four novel approaches to the prevention and treatment of sepsis
JF - American Journal of Health-System Pharmacy
DO - 10.1093/ajhp/61.8.765
DA - 2004-04-15
UR - https://www.deepdyve.com/lp/oxford-university-press/appraisal-of-four-novel-approaches-to-the-prevention-and-treatment-of-KPWIUWDFNH
SP - 765
VL - 61
IS - 8
DP - DeepDyve
ER -