NovoSeven: mode of action and use in acquired haemophilia.

Abstract:

:Recombinant activated factor VII (rFVIIa, 'NovoSeven') is indicated for the treatment of spontaneous and surgical bleeding in patients with haemophilia A or B with antibodies to factors VIII or IX (FVIII or FIX) worldwide, and in patients with acquired haemophilia in Europe. In vitro cell models have demonstrated that rFVIIa can bind to activated platelets and generate small amounts of Fxa, independent of the presence of tissue factor. The amount of platelet-surface Fxa formed increases with rising concentrations of FVIIa and, at levels of rFVII a that are effective in patients, sufficient platelet surface Fxa is generated partially to restore platelet surface thrombin generation. Acquired haemophilia is a rare but potentially life-threatening condition, caused by the autoimmune reduction of clotting factor levels as a result of the spontaneous development of auto-antibodies directed against the deficient factor. Bleeding into the skin or muscles is common in acquired haemophilia and the associated mortality rate is approximately 20%. rFVIIa has reported efficacy in the treatment of major bleeding episodes in patients with acquired haemophilia, which may be explained by its distinct mechanism of action that induces haemostasis at the site of injury, independent of the presence of FVIII or FIX. Also, the localisation of the action of rFVIIa at the site of injury may explain why it is well tolerated in these patients.

journal_name

Intensive Care Med

journal_title

Intensive care medicine

authors

Von Depka M

doi

10.1007/s00134-002-1469-1

keywords:

subject

Has Abstract

pub_date

2002-10-01 00:00:00

pages

S222-7

eissn

0342-4642

issn

1432-1238

journal_volume

28 Suppl 2

pub_type

杂志文章,评审
  • Serum procalcitonin measurement contribution to the early diagnosis of candidemia in critically ill patients.

    abstract:BACKGROUND:Candidemia is a life-threatening infection in the ICU whose prognosis is highly dependent on the stage at which it is recognized. Procalcitonin (PCT) levels have been shown to accurately distinguish between bacteremia and noninfectious inflammatory states in critically ill patients with clinical signs of sep...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-006-0306-3

    authors: Charles PE,Dalle F,Aho S,Quenot JP,Doise JM,Aube H,Olsson NO,Blettery B

    更新日期:2006-10-01 00:00:00

  • Mortality in ICU patients with bacterial community-acquired pneumonia: when antibiotics are not enough.

    abstract:BACKGROUND:It remains uncertain why immunocompetent patients with bacterial community-acquired pneumonia (CAP) die, in spite of adequate antibiotics. METHODS:This is a secondary analysis of the CAPUCI database which was a prospective observational multicentre study. Two hundred and twelve immunocompetent patients admi...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-008-1363-6

    authors: Rodriguez A,Lisboa T,Blot S,Martin-Loeches I,Solé-Violan J,De Mendoza D,Rello J,Community-Acquired Pneumonia Intensive Care Units (CAPUCI) Study Investigators.

    更新日期:2009-03-01 00:00:00

  • Neurodevelopmental, educational and behavioral outcome at 8 years after neonatal ECMO: a nationwide multicenter study.

    abstract:PURPOSE:Reporting neurodevelopmental outcome of 8-year-old children treated with neonatal extracorporeal membrane oxygenation (ECMO). METHODS:In a follow-up study in 135 8-year-old children who received neonatal ECMO between 1996 and 2001 we assessed intelligence (Revised Amsterdam Intelligence Test), concentration (B...

    journal_title:Intensive care medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s00134-013-2973-1

    authors: Madderom MJ,Reuser JJ,Utens EM,van Rosmalen J,Raets M,Govaert P,Steiner K,Gischler SJ,Tibboel D,van Heijst AF,Ijsselstijn H

    更新日期:2013-09-01 00:00:00

  • Acute respiratory distress syndrome among trauma patients: trends in ICU mortality, risk factors, complications and resource utilization.

    abstract:OBJECTIVE:To evaluate trends in mortality and related factors among trauma patients who developed acute respiratory distress syndrome (ARDS). STUDY:Observational study based on data prospectively gathered in computerized trauma registry. SETTING:Trauma intensive care unit (ICU) of 48 beds in level I trauma center. P...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s001340100955

    authors: Navarrete-Navarro P,Rodriguez A,Reynolds N,West R,Habashi N,Rivera R,Chiu WC,Scalea T

    更新日期:2001-07-01 00:00:00

  • Studies on drug monitoring in thrice and once daily treatment with aminoglycosides.

    abstract:OBJECTIVES:To investigate at what time the peak level should be determined under conventional thrice daily (t.i.d.) administration of the aminoglycoside netilmicin and to study its serum concentrations under once daily (od) treatment to define the required daily dose and to gain information about convenient drug monito...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/BF01694773

    authors: Konrad F,Wagner R,Neumeister B,Rommel H,Georgieff M

    更新日期:1993-01-01 00:00:00

  • Preliminary results on nursing workload in a dedicated weaning center.

    abstract:OBJECTIVE:To evaluate the nursing time required for difficult-to-wean patients in a dedicated weaning center (WC) and to examine the correlation of the nursing time with nursing workload (NW) scores and with clinical severity and dependency. SETTING:Four-bed WC of a pulmonary rehabilitation department. INTERVENTION:N...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s001340051249

    authors: Vitacca M,Clini E,Porta R,Ambrosino N

    更新日期:2000-06-01 00:00:00

  • A profile of European ICU nursing.

    abstract:OBJECTIVE:To evaluate major similarities and major differences between Western European countries in intensive care unit (ICU) nurse staffing, education, training, responsibilities, and initiative. DESIGN:A questionnaire was sent to Western European doctor members of the European Society of Intensive Care Medicine, to...

    journal_title:Intensive care medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s001340050693

    authors: Depasse B,Pauwels D,Somers Y,Vincent JL

    更新日期:1998-09-01 00:00:00

  • End-expiratory lung impedance change enables bedside monitoring of end-expiratory lung volume change.

    abstract:OBJECTIVE:The aim of the study was to investigate the effect of lung volume changes on end-expiratory lung impedance change (ELIC) in mechanically ventilated patients, since we hypothesized that ELIC may be a suitable parameter to monitor lung volume change at the bedside. DESIGN:Clinical trial on patients requiring m...

    journal_title:Intensive care medicine

    pub_type: 临床试验,杂志文章

    doi:10.1007/s00134-002-1555-4

    authors: Hinz J,Hahn G,Neumann P,Sydow M,Mohrenweiser P,Hellige G,Burchardi H

    更新日期:2003-01-01 00:00:00

  • Soluble triggering receptor expressed on myeloid cells 1: a biomarker for bacterial meningitis.

    abstract:OBJECTIVE:To evaluate whether soluble triggering receptor expressed on myeloid cells 1 (sTREM-1) in CSF can serve as a biomarker for the presence of bacterial meningitis and outcome in patients with this disease. DESIGN:Retrospective study of diagnostic accuracy. SETTING AND PATIENTS:CSF was collected from 92 adults ...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-006-0240-4

    authors: Determann RM,Weisfelt M,de Gans J,van der Ende A,Schultz MJ,van de Beek D

    更新日期:2006-08-01 00:00:00

  • Closed system endotracheal suctioning maintains lung volume during volume-controlled mechanical ventilation.

    abstract:OBJECTIVE:A closed suction system (CS) maintains connection with the mechanical ventilator during tracheal suctioning and is claimed to limit loss in lung volume and oxygenation. We compared changes in lung volume, oxygenation, airway pressure and hemodynamics during endotracheal suctioning performed with CS and with a...

    journal_title:Intensive care medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1007/s001340100897

    authors: Cereda M,Villa F,Colombo E,Greco G,Nacoti M,Pesenti A

    更新日期:2001-04-01 00:00:00

  • The influence of infection sites on development and mortality of ARDS.

    abstract:OBJECTIVE:Infection is the most frequent cause of acute respiratory distress syndrome (ARDS). However, little is known about the influence of infection sites on ARDS. This study aimed to assess the associations of infection sites with ARDS development and mortality in critically ill infected patients. DESIGN:Prospecti...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-010-1851-3

    authors: Sheu CC,Gong MN,Zhai R,Bajwa EK,Chen F,Thompson BT,Christiani DC

    更新日期:2010-06-01 00:00:00

  • Acute hemodynamic changes during lung recruitment in lavage and endotoxin-induced ALI.

    abstract:OBJECTIVE:To assess acute cardiorespiratory effects of recruitment manoeuvres in experimental acute lung injury. DESIGN:Experimental study in animal models of acute lung injury. SETTING:Experimental laboratory at a University Medical Centre. ANIMALS:Ten pigs with bronchoalveolar lavage and eight pigs with endotoxin-...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-004-2496-x

    authors: Odenstedt H,Aneman A,Kárason S,Stenqvist O,Lundin S

    更新日期:2005-01-01 00:00:00

  • An unusual drain in the pleural cavity: iatrogenic pneumothorax due to pulmonary misplacement of a nasogastric tube.

    abstract:: ...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-018-5280-z

    authors: Stefani A,Ruggiero C,Aramini B,Scamporlino A

    更新日期:2018-12-01 00:00:00

  • Psychological burnout and critical care medicine: big threat, big opportunity.

    abstract:: ...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-018-5063-6

    authors: Hawryluck L,Brindley PG

    更新日期:2018-12-01 00:00:00

  • Value of brain natriuretic peptide in the perioperative follow-up of children with valvular disease.

    abstract:OBJECTIVE:To characterize N-terminal pro-brain natriuretic peptide (N-proBNP) and troponin I (TnI) profile following mitral and/or aortic valve surgery and to evaluate correlations with echocardiography measures and outcome criteria. DESIGN AND SETTING:Prospective cross-controlled study in a university children's hosp...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-008-1025-8

    authors: Tissières P,da Cruz E,Habre W,Aggoun Y,Mensi N,Kalangos A,Beghetti M

    更新日期:2008-06-01 00:00:00

  • Hydrostatic mechanisms may contribute to the pathogenesis of human re-expansion pulmonary edema.

    abstract:OBJECTIVE:The primary objective was to test the hypothesis that clinical re-expansion pulmonary edema is predominantly due to increased permeability of the alveolar-capillary barrier. A secondary objective was to determine if the alveolar epithelium was functionally intact in patients with re-expansion pulmonary edema ...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-004-2379-1

    authors: Sue RD,Matthay MA,Ware LB

    更新日期:2004-10-01 00:00:00

  • Recalibration of the delirium prediction model for ICU patients (PRE-DELIRIC): a multinational observational study.

    abstract:PURPOSE:Recalibration and determining discriminative power, internationally, of the existing delirium prediction model (PRE-DELIRIC) for intensive care patients. METHODS:A prospective multicenter cohort study was performed in eight intensive care units (ICUs) in six countries. The ten predictors (age, APACHE-II, urgen...

    journal_title:Intensive care medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s00134-013-3202-7

    authors: van den Boogaard M,Schoonhoven L,Maseda E,Plowright C,Jones C,Luetz A,Sackey PV,Jorens PG,Aitken LM,van Haren FM,Donders R,van der Hoeven JG,Pickkers P

    更新日期:2014-03-01 00:00:00

  • Sildenafil attenuates pulmonary arterial pressure but does not improve oxygenation during ARDS.

    abstract:OBJECTIVE:Pulmonary hypertension is a characteristic feature of acute respiratory distress syndrome (ARDS) and contributes to mortality. Administration of sildenafil in ambulatory patients with pulmonary hypertension improves oxygenation and ameliorates pulmonary hypertension. Our aim was to determine whether sildenafi...

    journal_title:Intensive care medicine

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1007/s00134-010-1754-3

    authors: Cornet AD,Hofstra JJ,Swart EL,Girbes AR,Juffermans NP

    更新日期:2010-05-01 00:00:00

  • Accumulation of hydroxyethyl starch in human and animal tissues: a systematic review.

    abstract:PURPOSE:To systematically review clinical and preclinical data on hydroxyethyl starch (HES) tissue storage. METHODS:MEDLINE (PubMed) was searched and abstracts were screened using defined criteria to identify articles containing original data on HES tissue accumulation. RESULTS:Forty-eight studies were included: 37 h...

    journal_title:Intensive care medicine

    pub_type: 杂志文章,评审

    doi:10.1007/s00134-013-3156-9

    authors: Wiedermann CJ,Joannidis M

    更新日期:2014-02-01 00:00:00

  • Safety and feasibility of a strategy of early central venous catheter insertion in a deployed UK military Ebola virus disease treatment unit.

    abstract:PURPOSE:Early central venous catheter (CVC) insertion in Ebola virus disease (EVD) is a novel approach and has not previously been described. This report delineates the safety, feasibility and clinical implications of early CVC insertion as the optimum means of vascular access in patients with EVD, in the setting of a ...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-015-3736-y

    authors: Rees PS,Lamb LE,Nicholson-Roberts TC,Ardley CN,Bailey MS,Hinsley DE,Fletcher TE,Dickson SJ

    更新日期:2015-05-01 00:00:00

  • Time-limited trial of intensive care treatment: an overview of current literature.

    abstract::In critically ill patients, it is frequently challenging to identify who will benefit from admission to the intensive care unit and life-sustaining interventions when the chances of a meaningful outcome are unclear. In addition, the acute illness not only affects the patients but also family members or surrogates who ...

    journal_title:Intensive care medicine

    pub_type: 杂志文章,评审

    doi:10.1007/s00134-018-5339-x

    authors: Vink EE,Azoulay E,Caplan A,Kompanje EJO,Bakker J

    更新日期:2018-09-01 00:00:00

  • Epidemiological markers of coagulase-negative staphylococci.

    abstract::Several different epidemiological typing methods have been used in studies of coagulase-negative staphylococci; these include biotyping, antibiotic susceptibility pattern analysis, serological typing, phage typing, slime production detection, protein profile analysis, immunoblot fingerprinting and DNA typing. The most...

    journal_title:Intensive care medicine

    pub_type: 杂志文章,评审

    doi:10.1007/BF01694703

    authors: Vandenesch F,Lina B,Lebeau Ch,Greenland TB,Etienne J

    更新日期:1993-01-01 00:00:00

  • Pancreatitis related to severe acute hypertriglyceridemia during pregnancy: treatment with lipoprotein apheresis.

    abstract::We report a clinical observation of acute pancreatitis due to severe hypertriglyceridemia in a pregnant woman. In order to decrease the serum triglyceride level rapidly, two lipaphereses were undertaken using the double-filtration technique. This lipoprotein apheresis technique is briefly described and the efficacy in...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/BF01709884

    authors: Achard JM,Westeel PF,Moriniere P,Lalau JD,de Cagny B,Fournier A

    更新日期:1991-01-01 00:00:00

  • Transcranial Doppler ultrasound goal-directed therapy for the early management of severe traumatic brain injury.

    abstract:OBJECTIVE:To evaluate the usefulness of early transcranial Doppler ultrasound (TCD) goal-directed therapy after severe traumatic brain injury initiated before invasive cerebral monitoring is available. DESIGN:Prospective, observational clinical study. SETTING:Surgical intensive care unit, university hospital. PATIEN...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-007-0558-6

    authors: Ract C,Le Moigno S,Bruder N,Vigué B

    更新日期:2007-04-01 00:00:00

  • Restoring arterial pressure with norepinephrine improves muscle tissue oxygenation assessed by near-infrared spectroscopy in severely hypotensive septic patients.

    abstract:PURPOSE:To examine the consequences of administration of norepinephrine on muscle tissue oxygenation in severely hypotensive septic shock patients. METHODS:This was a prospective observational study conducted in a medical intensive care unit of a university hospital. We included 28 septic shock patients that received ...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-010-2013-3

    authors: Georger JF,Hamzaoui O,Chaari A,Maizel J,Richard C,Teboul JL

    更新日期:2010-11-01 00:00:00

  • Endogenous IgG hypogammaglobulinaemia in critically ill adults with sepsis: systematic review and meta-analysis.

    abstract:PURPOSE:Plasma immunoglobulin concentrations are acutely altered in critically ill patients with sepsis. However, the association between immunoglobulin levels on the day of sepsis diagnosis and subsequent mortality is inconsistent. METHODS:Systematic review of studies that report immunoglobulin measurements and morta...

    journal_title:Intensive care medicine

    pub_type: 杂志文章,meta分析,评审

    doi:10.1007/s00134-015-3845-7

    authors: Shankar-Hari M,Culshaw N,Post B,Tamayo E,Andaluz-Ojeda D,Bermejo-Martín JF,Dietz S,Werdan K,Beale R,Spencer J,Singer M

    更新日期:2015-08-01 00:00:00

  • Persisting low monocyte human leukocyte antigen-DR expression predicts mortality in septic shock.

    abstract:OBJECTIVE:The immediate overwhelming release of inflammatory mediators in septic shock is rapidly followed by strong anti-inflammatory responses inducing a state of immunosuppression. The patients who survive the initial hyper-inflammatory step of septic shock but subsequently die may be those who do not recover from i...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-006-0204-8

    authors: Monneret G,Lepape A,Voirin N,Bohé J,Venet F,Debard AL,Thizy H,Bienvenu J,Gueyffier F,Vanhems P

    更新日期:2006-08-01 00:00:00

  • Respiratory function and carbonic anhydrase inhibition.

    abstract::Acetazolamide (Diamox) induced carbonic anhydrase inhibition is an efficient means of eliminating surplus water and bicarbonate in the overhydrated and alkalotic patient. Previous studies have demonstrated an unexpected and unexplained increase in arterial and venous oxygenation during acute carbonic anhydrase inhibit...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/BF00255787

    authors: Berthelsen PG,Dich-Nielsen JO

    更新日期:1987-01-01 00:00:00

  • Methods of management of flail chest.

    abstract::We have treated 30 patients with flail chest, with priority given to associated factors (pain, secretions retention, hemo-/pneumothorax and underlying pulmonary contusion). When this treatment was insufficient IMV + PEEP was instituted; in this group there was a 58.8% incidence of pneumonia, 47.5% of sepsis and 11.7 d...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/BF01687161

    authors: Carpintero JL,Rodriguez Diez A,Ruiz Elvira MJ,Benitez JA,Perez Rielo A

    更新日期:1980-08-01 00:00:00

  • The association between hyperoxia and patient outcomes after cardiac arrest: analysis of a high-resolution database.

    abstract:PURPOSE:Previous observational studies have inconsistently associated early hyperoxia with worse outcomes after cardiac arrest, and have methodological limitations. We tested this association using a high-resolution database controlling for multiple disease-specific markers of severity of illness and care processes. M...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-014-3555-6

    authors: Elmer J,Scutella M,Pullalarevu R,Wang B,Vaghasia N,Trzeciak S,Rosario-Rivera BL,Guyette FX,Rittenberger JC,Dezfulian C,Pittsburgh Post-Cardiac Arrest Service (PCAS).

    更新日期:2015-01-01 00:00:00