Human protein C concentrates in adult septic patients

被引:5
作者
Landoni, Giovanni [1 ]
Crivellari, Martina [1 ]
Monti, Giacomo [1 ]
Gerli, Chiara [1 ]
Silvani, Paolo [1 ]
Zangrillo, Alberto [1 ]
机构
[1] Ist Sci San Raffaele, Dept Cardiothorac Anesthesia & Intens Care, I-20132 Milan, Italy
关键词
sepsis; protein C; cardiac surgery;
D O I
10.22514/SV32.102008.1
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Some case reports and case series suggest that protein C concentrates may improve the outcome in patients with congenital or acquired protein C deficiency (not only in those with sepsis induced purpura fulminans). We reviewed the published literature on the use of protein C concentrates in adult septic patients and found that it is limited to less than 70 patients reported in observational studies with a 70% survival, and added our personal experience (two adult patients with sepsis and contraindications to recombinant activated protein C).
引用
收藏
页码:13 / 17
页数:5
相关论文
共 28 条
  • [1] Drotrecogin alfa (activated) for adults with severe sepsis and a low risk of death
    Abraham, E
    Laterre, P
    Garg, R
    Levy, H
    Talwar, D
    Trzaskoma, BL
    Francois, B
    Guy, JS
    Bruckmann, M
    Rea-Neto, A
    Rossaint, R
    Perrotin, D
    Sablotzki, A
    Arkins, N
    Utterback, BG
    Macias, WL
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 2005, 353 (13) : 1332 - 1341
  • [2] Baratto F, 2004, Minerva Anestesiol, V70, P351
  • [3] Protein C concentrate to restore physiological values in adult septic patients
    Baratto, Fabio
    Michielan, Flavio
    Meroni, Muzio
    Dal Palu, Antonella
    Boscolo, Annalisa
    Ori, Carlo
    [J]. INTENSIVE CARE MEDICINE, 2008, 34 (09) : 1707 - 1712
  • [4] Efficacy and safety of recombinant human activated protein C for severe sepsis.
    Bernard, GR
    Vincent, JL
    Laterre, P
    LaRosa, SP
    Dhainaut, JF
    Lopez-Rodriguez, A
    Steingrub, JS
    Garber, GE
    Helterbrand, JD
    Ely, EW
    Fisher, CJ
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 2001, 344 (10) : 699 - 709
  • [5] Use of Drotrecogin alfa (activated) in Italian intensive care units: the results of a nationwide survey
    Bertolini, Guido
    Rossi, Carlotta
    Anghileri, Abramo
    Livigni, Sergio
    Addis, Antonio
    Poole, Daniele
    [J]. INTENSIVE CARE MEDICINE, 2007, 33 (03) : 426 - 434
  • [6] Meningococcal septicaemia: treatment with protein C concentrate
    Clarke, RCN
    Johnston, JR
    Mayne, EE
    [J]. INTENSIVE CARE MEDICINE, 2000, 26 (04) : 471 - 473
  • [7] CRIVELLARI K, 2008, SIAARTI C P IN PRESS
  • [8] Activation of protein C following infusion of protein C concentrate in children with severe meningococcal. sepsis and purpura fulminans: A randomized, double-blinded, placebo-controlled, dose-finding study
    de Kleijn, ED
    de Groot, R
    Hack, CE
    Mulder, PGH
    Engl, W
    Moritz, B
    Joosten, KFM
    Hazelzet, JA
    [J]. CRITICAL CARE MEDICINE, 2003, 31 (06) : 1839 - 1847
  • [9] Surviving Sepsis Campaign: International guidelines for management of severe sepsis and septic shock: 2008
    Dellinger, R. Phillip
    Levy, Mitchell M.
    Carlet, Jean M.
    Bion, Julian
    Parker, Margaret M.
    Jaeschke, Roman
    Reinhart, Konrad
    Angus, Derek C.
    Brun-Buisson, Christian
    Beale, Richard
    Calandra, Thierty
    Dhainaut, Jean-Francois
    Gerlach, Herwig
    Harvey, Maurene
    Marini, John J.
    Marshall, John
    Ranieri, Marco
    Ramsay, Graham
    Sevransky, Jonathan
    Thompson, B. Taylor
    Townsend, Sean
    Vender, Jeffrey S.
    Zimmerman, Janice L.
    Vincent, Jean-Louis
    [J]. CRITICAL CARE MEDICINE, 2008, 36 (01) : 296 - 327
  • [10] DEVENTER SJ, 1995, THROMB HAEMOSTASIS, V73, P15