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Báo cáo khoa học: "Recently published papers: Treating sepsis, measuring troponin and managing the obese"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Recently published papers: Treating sepsis, measuring troponin and managing the obese. | Available online http ccforum.eom content 9 6 535 Commentary Recently published papers Treating sepsis measuring troponin and managing the obese Nicholas D Mansfield1 and Lui G Forni2 Specialist Registrar Department of Critical Care Worthing General Hospital Lyndhurst Road Worthing West Sussex BN11 2DH UK 2Consultant Intensivist Nephrologist Department of Critical Care Worthing General Hospital Lyndhurst Road Worthing West Sussex BN11 2DH UK Corresponding author Lui G Forni Lui.Forni@wash.nhs.uk Published online 23 November 2005 This article is online at http ccforum.com content 9 6 535 2005 BioMed Central Ltd Critical Care 2005 9 535-537 DOI 10.1186 cc3947 Abstract Sepsis and septic shock continue to contribute to our workload and stimulate our research activities although many fundamental questions remain. Studies reported on here focus on inotrope use and a novel way of predicting inotrope response. Continuing this theme more fundamental work is reported examining the mitochondrial respiratory chain and the effects of sepsis coupled with interesting work on lactic acidosis. Troponin raises its head again and we are still left quizzing over its value in the ICU. Finally we discuss a paper on the outcome of the obese patient on a general ICU. Like sepsis a continuing challenge. Medicine is the only profession that labours incessantly to destroy the reason for its own existence. James Bryce 1914 Choosing the inotrope Sepsis and septic shock in the intensive care unit ICU still contribute significantly to our workload and unfortunately account for significant mortality. Consequently they continue to provide much interest in the literature as our understanding of the processes involved become ever more complex. An interesting physiological short term study performed by Albanese and colleagues 1 addresses a far more basic aspect to the treatment of septic shock that is the choice of inotrope. In 20 patients the vasopressors terlipressin and norepinephrine were .