Clinical Trials for the Treatment of Sepsis by W.J. Sibbald (English) Paperback

Description: Clinical Trials for the Treatment of Sepsis by W.J. Sibbald, Jean-Louis Vincent The incidence of sepsis is increasing as new medical and surgical technologies are applied to an increasingly aging patient population. The treatment of sepsis emphasizes strategies to avoid multiple organ dysfunction, with particular attention to establishing source control, and then modifies the hosts response to the excessive inflammatory response which characterizes sepsis. This book is a comprehensive review by internationally recognized experts of the epidemiology, monitoring and treatment of sepsis. Using an "evidence-based" approach, it comprises an extensive review of the literature on sepsis, provides up-to-date recommendations for monitoring and treating sepsis patients, and concludes with explicit recommendations for the design and monitoring of future clinical trials. FORMAT Paperback LANGUAGE English CONDITION Brand New Publisher Description Sepsis and Innovative Treatment: The Odyssey R. C. Bone The Odyssey by Homer, dates back to the 8th century, B. C. [1]. It is a great epic adventure of Odysseuss dramatic journey from Troy back home to Ithaca. Odysseus survives the ordeals of this journey and returns with new powers and insights. The study of the pathogenesis and treatment of sepsis has also been an odys- sey. I feel we will return from this odyssey with new insights and treatments. However, as with Odysseus, this will occur only after considerable struggle. In the 1980s we had a rather simplistic view of sepsis. It was a highly lethal complication caused by infection and often charac- terized by shock and multi-organ failure. Our knowledge of the inflammatory responses associated with sepsis was embryonic compared to today. The inflammatory response was often treat- ment with mega-dose corticosteroids along with fluid resuscita- tion, vasopressors and antibiotics.Because of the paucity of mul- ti-center controlled trials documenting the risk/benefit ratio of the treatment of sepsis with corticosteroids, two large multi-cen- ter controlled trials were organized to evaluate the role of corti- costeroids in sepsis [2, 3]. Because animal models showed bene- fits of corticosteroids only with pre-treatment or early treatment, a definition of sepsis was used that did not require positive cul- ture documentation or septic shock to be included in the studied population. Notes Springer Book Archives Table of Contents Epidemiology of Sepsis.- The Systemic Inflammatory Response Syndrome (SIRS).- The "At Risk" Patient Population.- Outcome and Prognostic Factors in Bacteremic Sepsis.- ARDS and Sepsis: Resemblances and Differences.- Monitoring the Treatment of Sepsis.- Microbiological Requirements for Studies of Sepsis.- Measurement of Inflammatory Mediators in Clinical Sepsis.- Whole Body and Organ Measures of 02 Availability.- Multiple Organ Dysfunction Syndrome (MODS).- Monitoring Illness Severity.- What Determines Prognosis in Sepsis?.- SAPS II and MPM II Models for Early Severe Sepsis.- Clinical Management of Sepsis.- Fluid Therapy in Septic Shock.- Role of RBC Transfusion Therapy in Sepsis.- Vasoactive Drug Therapy in Sepsis.- Evidence-Based Analysis of Nutrition Support in Sepsis.- Investigational Therapy of Sepsis.- Anti-Endotoxin Therapy.- Critical Reappraisal of Steroids and Other Anti-Inflammatory Agents.- Investigational Therapy of Sepsis: Anti-TNF, IL-1ra, Anti-PAF and G-CSF.- Sepsis and Acute Lung Injury.- Increasing Oxygen Delivery in Sepsis.- Designing the Optimum Clinical Trial for the Treatment of Sepsis.- Critical Evaluation of the Design and Conduct of Previous Clinical Trials in Sepsis.- Evaluation of the Adequacy of Source Control.- Statistical Considerations for the Design of the Optimal Clinical Trial.- The Monitoring and Reporting of Clinical Trials.- Economic Evaluation in the Critical Care Literature.- Ethical Issues in Clinical Trials. Promotional Springer Book Archives Long Description Sepsis and Innovative Treatment: The Odyssey R. C. Bone The Odyssey by Homer, dates back to the 8th century, B. C. [1]. It is a great epic adventure of Odysseuss dramatic journey from Troy back home to Ithaca. Odysseus survives the ordeals of this journey and returns with new powers and insights. The study of the pathogenesis and treatment of sepsis has also been an odys Details ISBN364279226X Short Title CLINICAL TRIALS FOR THE TREATM Series Update in Intensive Care and Emergency Medicine Language English ISBN-10 364279226X ISBN-13 9783642792267 Media Book Format Paperback Series Number 19 Year 2011 Publication Date 2011-11-22 Imprint Springer-Verlag Berlin and Heidelberg GmbH & Co. K Place of Publication Berlin Country of Publication Germany Edited by W.J. Sibbald Pages 406 DEWEY 616 DOI 10.1007/978-3-642-79224-3 Author Jean-Louis Vincent Publisher Springer-Verlag Berlin and Heidelberg GmbH & Co. KG Edition Description Softcover reprint of the original 1st ed. 1995 Alternative 9783540583806 Audience Professional & Vocational Illustrations XXXI, 406 p. We've got this At The Nile, if you're looking for it, we've got it. With fast shipping, low prices, friendly service and well over a million items - you're bound to find what you want, at a price you'll love! TheNile_Item_ID:96325371;

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