Pro/con clinical debate: steroids are a key component in the treatment of SARS. Pro: Yes, steroids are a key component of the treatment regimen for SARS.

Abstract:

:SARS (severe acute respiratory syndrome) proved an enormous physical and emotional challenge to frontline health care workers throughout the world in late 2002 through to mid 2003. A large percentage of patients (many being health care workers themselves) became critically ill. Unfortunately, clinicians caring for these individuals did not have the advantage of previous experience or research data on which to base treatment decisions. As a result, at least early in the outbreak, a 'best guess approach' and/or anecdotes drove therapy. In many centres systemic steroids, which carry many potential downsides, became a mainstay of therapy. In this issue of Critical Care, two groups that have frontline experience of SARS debate the role of steroids. Let us hope and pray together that we never have the patient population needed to resolve the questions the two sides raise.

journal_name

Crit Care

authors

Gomersall CD

doi

10.1186/cc2452

keywords:

subject

Has Abstract

pub_date

2004-04-01 00:00:00

pages

105-7

issue

2

eissn

1364-8535

issn

1466-609X

pii

cc2452

journal_volume

8

pub_type

杂志文章
  • Prognostic value of admission blood glucose level in patients with and without diabetes mellitus who sustain ST segment elevation myocardial infarction complicated by cardiogenic shock.

    abstract:INTRODUCTION:Admission blood glucose (BG) level is a predictor of mortality in patients with ST-segment elevation myocardial infarction (STEMI). However, limited data are available relating admission BG to mortality in patients with STEMI complicated by cardiogenic shock, and it is not known whether diabetic status has...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章,多中心研究

    doi:10.1186/cc13035

    authors: Yang JH,Song PS,Song YB,Hahn JY,Choi SH,Choi JH,Lee SH,Jeong MH,Kim YJ,Gwon HC

    更新日期:2013-10-03 00:00:00

  • Thromboelastometry and organ failure in trauma patients: a prospective cohort study.

    abstract:INTRODUCTION:Data on the incidence of a hypercoagulable state in trauma, as measured by thromboelastometry (ROTEM), is limited and the prognostic value of hypercoagulability after trauma on outcome is unclear. We aimed to determine the incidence of hypercoagulability after trauma, and to assess whether early hypercoagu...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章,多中心研究

    doi:10.1186/s13054-014-0687-6

    authors: Müller MC,Balvers K,Binnekade JM,Curry N,Stanworth S,Gaarder C,Kolstadbraaten KM,Rourke C,Brohi K,Goslings JC,Juffermans NP

    更新日期:2014-12-25 00:00:00

  • Unraveling the role of high mobility group box protein 1 in severe trauma.

    abstract::High mobility group box protein 1 (HMGB1) has been shown to participate in acute inflammatory reactions, including acute lung injury and sepsis. There is also evidence that circulating levels of HMGB1 are increased after severe trauma and are associated with clinically important outcome parameters, including mortality...

    journal_title:Critical care (London, England)

    pub_type: 评论,杂志文章

    doi:10.1186/cc8141

    authors: Abraham E

    更新日期:2009-01-01 00:00:00

  • Comparison of mortality prediction models in acute respiratory distress syndrome undergoing extracorporeal membrane oxygenation and development of a novel prediction score: the PREdiction of Survival on ECMO Therapy-Score (PRESET-Score).

    abstract:BACKGROUND:Extracorporeal membrane oxygenation (ECMO) is a life-saving therapy in acute respiratory distress syndrome (ARDS) patients but is associated with complications and costs. Here, we validate various scores supposed to predict mortality and develop an optimized categorical model. METHODS:In a derivation cohort...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/s13054-017-1888-6

    authors: Hilder M,Herbstreit F,Adamzik M,Beiderlinden M,Bürschen M,Peters J,Frey UH

    更新日期:2017-12-12 00:00:00

  • Bench-to-bedside review: Cytopathic hypoxia.

    abstract::The rate of oxygen consumption by certain tissues is impaired when mice or rats are injected with lipopolysaccharide. A similar change in the rate of oxygen consumption is observed when Caco-2 human enterocyte-like cells are incubated in vitro with cytomix, a cocktail of cytokines containing tumor necrosis factor, IL-...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章,评审

    doi:10.1186/cc1824

    authors: Fink MP

    更新日期:2002-12-01 00:00:00

  • Clinical course and outcome of 107 patients infected with the novel coronavirus, SARS-CoV-2, discharged from two hospitals in Wuhan, China.

    abstract:BACKGROUND:In December 2019, coronavirus disease 2019 (COVID-19) outbreak was reported from Wuhan, China. Information on the clinical course and prognosis of COVID-19 was not thoroughly described. We described the clinical courses and prognosis in COVID-19 patients. METHODS:Retrospective case series of COVID-19 patien...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/s13054-020-02895-6

    authors: Wang D,Yin Y,Hu C,Liu X,Zhang X,Zhou S,Jian M,Xu H,Prowle J,Hu B,Li Y,Peng Z

    更新日期:2020-04-30 00:00:00

  • Early goal-directed therapy in severe sepsis and septic shock: insights and comparisons to ProCESS, ProMISe, and ARISE.

    abstract::Prior to 2001 there was no standard for early management of severe sepsis and septic shock in the emergency department. In the presence of standard or usual care, the prevailing mortality was over 40-50 %. In response, a systems-based approach, similar to that in acute myocardial infarction, stroke and trauma, called ...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章,评审

    doi:10.1186/s13054-016-1288-3

    authors: Nguyen HB,Jaehne AK,Jayaprakash N,Semler MW,Hegab S,Yataco AC,Tatem G,Salem D,Moore S,Boka K,Gill JK,Gardner-Gray J,Pflaum J,Domecq JP,Hurst G,Belsky JB,Fowkes R,Elkin RB,Simpson SQ,Falk JL,Singer DJ,Rivers EP

    更新日期:2016-07-01 00:00:00

  • Bench-to-bedside review: Hydrogen sulfide--the third gaseous transmitter: applications for critical care.

    abstract::Hydrogen sulfide (H2S), a gas with the characteristic odor of rotten eggs, is known for its toxicity and as an environmental hazard, inhibition of mitochondrial respiration resulting from blockade of cytochrome c oxidase being the main toxic mechanism. Recently, however, H2S has been recognized as a signaling molecule...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章,评审

    doi:10.1186/cc7700

    authors: Wagner F,Asfar P,Calzia E,Radermacher P,Szabó C

    更新日期:2009-01-01 00:00:00

  • A pilot study of a new test to predict extubation failure.

    abstract:INTRODUCTION:To determine whether subjecting patients to 100 ml of additional dead space after a 120-minute weaning trial could predict readiness for extubation. METHODS:This was a prospective, non-randomised pilot study in an intensive care unit at a university hospital with 14 beds. It included all non-tracheostomis...

    journal_title:Critical care (London, England)

    pub_type: 临床试验,杂志文章

    doi:10.1186/cc7783

    authors: Solsona JF,Díaz Y,Vázquez A,Pilar Gracia M,Zapatero A,Marrugat J

    更新日期:2009-01-01 00:00:00

  • Respiratory support withdrawal in intensive care units: families, physicians and nurses views on two hypothetical clinical scenarios.

    abstract:INTRODUCTION:Evidence suggests that dying patients' physical and emotional suffering is inadequately treated in intensive care units. Although there are recommendations regarding decisions to forgo life-sustaining therapy, deciding on withdrawal of life support is difficult, and it is also difficult to decide who shoul...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/cc9390

    authors: Fumis RR,Deheinzelin D

    更新日期:2010-01-01 00:00:00

  • Bench-to-bedside review: Burn-induced cerebral inflammation--a neglected entity?

    abstract::Severe burn injury remains a major burden on patients and healthcare systems. Following severe burns, the injured tissues mount a local inflammatory response aiming to restore homeostasis. With excessive burn load, the immune response becomes disproportionate and patients may develop an overshooting systemic inflammat...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章,评审

    doi:10.1186/cc7794

    authors: Flierl MA,Stahel PF,Touban BM,Beauchamp KM,Morgan SJ,Smith WR,Ipaktchi KR

    更新日期:2009-01-01 00:00:00

  • Using an expiratory resistor, arterial pulse pressure variations predict fluid responsiveness during spontaneous breathing: an experimental porcine study.

    abstract:INTRODUCTION:Fluid responsiveness prediction is difficult in spontaneously breathing patients. Because the swings in intrathoracic pressure are minor during spontaneous breathing, dynamic parameters like pulse pressure variation (PPV) and systolic pressure variation (SPV) are usually small. We hypothesized that during ...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/cc7760

    authors: Dahl MK,Vistisen ST,Koefoed-Nielsen J,Larsson A

    更新日期:2009-01-01 00:00:00

  • Perioperative blood transfusion is associated with a gene transcription profile characteristic of immunosuppression: a prospective cohort study.

    abstract:INTRODUCTION:Blood transfusion in the perioperative period has frequently been associated with an excess of nosocomial infections. Whilst transfused whole blood induces specific host immune alteration that may predispose to nosocomial infections, the immunomodulating properties associated with leukodepleted blood remai...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/s13054-014-0541-x

    authors: Fragkou PC,Torrance HD,Pearse RM,Ackland GL,Prowle JR,Owen HC,Hinds CJ,O'Dwyer MJ

    更新日期:2014-10-01 00:00:00

  • Comparison of sufentanil with sufentanil plus magnesium sulphate for sedation in the intensive care unit using bispectral index.

    abstract:INTRODUCTION:In intensive care unit patients we assessed, using bispectral index (BIS) monitoring, whether the addition of magnesium sulphate infusion could decrease the sufentanil infusion required to maintain sedation. PATIENTS AND METHODS:A total of 30 adult patients who were expected to require mechanical ventilat...

    journal_title:Critical care (London, England)

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1186/cc2365

    authors: Memiş D,Turan A,Karamanlioglu B,Oguzhan N,Pamukçu Z

    更新日期:2003-10-01 00:00:00

  • Significance of lipopolysaccharide-binding protein (an acute phase protein) in monitoring critically ill patients.

    abstract:INTRODUCTION:The present study was conducted to assess the value of serum concentration of lipopolysaccharide-binding protein (LBP) in patients with systemic inflammatory response syndrome (SIRS), sepsis and septic shock with respect to its ability to differentiate between infectious and noninfectious etiologies in SIR...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/cc2386

    authors: Prucha M,Herold I,Zazula R,Dubska L,Dostal M,Hildebrand T,Hyanek J

    更新日期:2003-12-01 00:00:00

  • Immune derangement occurs in patients with H7N9 avian influenza.

    abstract:INTRODUCTION:Currently, little is known about the immunological characteristics of patients with avian influenza A (H7N9) virus infection. METHODS:The numbers and percentages of peripheral blood immune cells were measured in 27 patients with laboratory-confirmed H7N9 virus infection and 30 healthy controls (HCs). The ...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/cc13788

    authors: Wu W,Shi Y,Gao H,Liang W,Sheng J,Li L

    更新日期:2014-03-24 00:00:00

  • An overview of harms associated with beta-lactam antimicrobials: where do the carbapenems fit in?

    abstract::The US Institute of Medicine's focus on patient safety has motivated hospital administrators to facilitate a culture of safety. As a result, subcommittees of the pharmacy and therapeutics committee have emerged in many hospitals to focus on adverse events and patient safety. Antimicrobial harms have gained the attenti...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章,评审

    doi:10.1186/cc6819

    authors: Owens RC Jr

    更新日期:2008-01-01 00:00:00

  • Near-infrared spectroscopy for assessing tissue oxygenation and microvascular reactivity in critically ill patients: a prospective observational study.

    abstract:BACKGROUND:Impaired microcirculatory perfusion and tissue oxygenation during critical illness are associated with adverse outcome. The aim of this study was to detect alterations in tissue oxygenation or microvascular reactivity and their ability to predict outcome in critically ill patients using thenar near-infrared ...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/s13054-016-1500-5

    authors: Donati A,Damiani E,Domizi R,Scorcella C,Carsetti A,Tondi S,Monaldi V,Adrario E,Romano R,Pelaia P,Singer M

    更新日期:2016-10-01 00:00:00

  • Statistics review 4: sample size calculations.

    abstract::The present review introduces the notion of statistical power and the hazard of under-powered studies. The problem of how to calculate an ideal sample size is also discussed within the context of factors that affect power, and specific methods for the calculation of sample size are presented for two common scenarios, ...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章,评审

    doi:10.1186/cc1521

    authors: Whitley E,Ball J

    更新日期:2002-08-01 00:00:00

  • The 'cardiac-lung mass' artifact: an echocardiographic sign of lung atelectasis and/or pleural effusion.

    abstract:INTRODUCTION:We conducted an ultrasound study to investigate echocardiographic artifacts in mechanically ventilated patients with lung pathology. METHODS:A total of 205 mechanically ventilated patients who exhibited lung atelectasis and/or pleural effusion were included in this 36-month study. The patients underwent l...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/cc7021

    authors: Karabinis A,Saranteas T,Karakitsos D,Lichtenstein D,Poularas J,Yang C,Stefanadis C

    更新日期:2008-01-01 00:00:00

  • Endothelial progenitor cells (EPC) in sepsis with acute renal dysfunction (ARD).

    abstract:INTRODUCTION:Sepsis is characterized by systemic microvascular dysfunction. Endothelial progenitor cells (EPCs) are critically involved in maintaining vascular homeostasis under both physiological and pathological conditions. The aim of the present study was to analyze the endothelial progenitor cell system in patients...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/cc10100

    authors: Patschan SA,Patschan D,Temme J,Korsten P,Wessels JT,Koziolek M,Henze E,Müller GA

    更新日期:2011-01-01 00:00:00

  • Incidence and outcome of invasive candidiasis in intensive care units (ICUs) in Europe: results of the EUCANDICU project.

    abstract:BACKGROUND:The objective of this study was to assess the cumulative incidence of invasive candidiasis (IC) in intensive care units (ICUs) in Europe. METHODS:A multinational, multicenter, retrospective study was conducted in 23 ICUs in 9 European countries, representing the first phase of the candidemia/intra-abdominal...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章,多中心研究

    doi:10.1186/s13054-019-2497-3

    authors: Bassetti M,Giacobbe DR,Vena A,Trucchi C,Ansaldi F,Antonelli M,Adamkova V,Alicino C,Almyroudi MP,Atchade E,Azzini AM,Carannante N,Carnelutti A,Corcione S,Cortegiani A,Dimopoulos G,Dubler S,García-Garmendia JL,Girardis

    更新日期:2019-06-14 00:00:00

  • Clinical review: What are the best hemodynamic targets for noncardiac surgical patients?

    abstract::Perioperative hemodynamic optimization, or goal-directed therapy (GDT), has been show to significantly decrease complications and risk of death in high-risk patients undergoing noncardiac surgery. An important aim of GDT is to prevent an imbalance between oxygen delivery and oxygen consumption in order to avoid the de...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章,评审

    doi:10.1186/cc11861

    authors: Lobo SM,de Oliveira NE

    更新日期:2013-03-19 00:00:00

  • Presentation and outcome of Middle East respiratory syndrome in Saudi intensive care unit patients.

    abstract:BACKGROUND:Middle East respiratory syndrome coronavirus infection is associated with high mortality rates but limited clinical data have been reported. We describe the clinical features and outcomes of patients admitted to an intensive care unit (ICU) with Middle East respiratory syndrome coronavirus (MERS-CoV) infecti...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/s13054-016-1303-8

    authors: Almekhlafi GA,Albarrak MM,Mandourah Y,Hassan S,Alwan A,Abudayah A,Altayyar S,Mustafa M,Aldaghestani T,Alghamedi A,Talag A,Malik MK,Omrani AS,Sakr Y

    更新日期:2016-05-07 00:00:00

  • Prevalence of burnout among intensivists in mainland China: a nationwide cross-sectional survey.

    abstract:BACKGROUND:Burnout has gained increasing attention worldwide; however, there is a lack of relevant research in China. This study investigated the prevalence and factors associated with burnout in physicians of the intensive care unit (ICU) in mainland China. METHODS:This cross-sectional multicenter study included crit...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/s13054-020-03439-8

    authors: Wang J,Hu B,Peng Z,Song H,Cai S,Rao X,Li L,Li J

    更新日期:2021-01-05 00:00:00

  • Thrombomodulin phenotype of a distinct monocyte subtype is an independent prognostic marker for disseminated intravascular coagulation.

    abstract:INTRODUCTION:Thrombomodulin, which is expressed solely on monocytes, along with tissue factor (TF), takes part in coagulation and inflammation. Circulating blood monocytes can be divided into 3 major subtypes on the basis of their receptor phenotype: classical (CD14brightCD16negative, CMs), inflammatory (CD14brightCD16...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/cc10139

    authors: Hwang SM,Kim JE,Han KS,Kim HK

    更新日期:2011-01-01 00:00:00

  • Intraoperative milrinone versus dobutamine in cardiac surgery patients: a retrospective cohort study on mortality.

    abstract:BACKGROUND:Several choices of inotropic therapy are available and used in relation to cardiac surgery. Comparisons are necessary to select optimal therapy. In Denmark, dobutamine and milrinone are the two inotropic agents most commonly used to treat post-bypass low cardiac output syndrome. This study compares all-cause...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/s13054-018-1969-1

    authors: Nielsen DV,Torp-Pedersen C,Skals RK,Gerds TA,Karaliunaite Z,Jakobsen CJ

    更新日期:2018-02-26 00:00:00

  • Revised trauma scoring system to predict in-hospital mortality in the emergency department: Glasgow Coma Scale, Age, and Systolic Blood Pressure score.

    abstract:INTRODUCTION:Our aim in this study was to assess whether the new Glasgow Coma Scale, Age, and Systolic Blood Pressure (GAP) scoring system, which is a modification of the Mechanism, Glasgow Coma Scale, Age, and Arterial Pressure (MGAP) scoring system, better predicts in-hospital mortality and can be applied more easily...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章,多中心研究

    doi:10.1186/cc10348

    authors: Kondo Y,Abe T,Kohshi K,Tokuda Y,Cook EF,Kukita I

    更新日期:2011-08-10 00:00:00

  • Rs1800625 in the receptor for advanced glycation end products gene predisposes to sepsis and multiple organ dysfunction syndrome in patients with major trauma.

    abstract:INTRODUCTION:The receptor for advanced glycation end products (RAGE) is a transmembrane receptor of the immunoglobulin superfamily, it plays pivotal roles in the pathogenesis of sepsis in several ways. Our previous study showed that rs1800625 (-429T/C) revealed a strong clinical relevance with sepsis morbidity rate and...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/s13054-014-0727-2

    authors: Zeng L,Du J,Gu W,Zhang AQ,Wang HY,Wen DL,Qiu L,Yang XT,Sun JH,Zhang M,Hao J,Jiang JX

    更新日期:2015-01-09 00:00:00

  • Glycaemic control targets after traumatic brain injury: a systematic review and meta-analysis.

    abstract:BACKGROUND:Optimal glycaemic targets in traumatic brain injury (TBI) remain unclear. We performed a systematic review and meta-analysis of randomised controlled trials (RCTs) comparing intensive with conventional glycaemic control in TBI requiring admission to an intensive care unit (ICU). METHODS:We systematically se...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章,meta分析,评审

    doi:10.1186/s13054-017-1883-y

    authors: Hermanides J,Plummer MP,Finnis M,Deane AM,Coles JP,Menon DK

    更新日期:2018-01-19 00:00:00