New pharmacologic therapies for acute heart failure.

Abstract:

:Given the limitations of high-dose diuretics and vasodilators and the increasing literature showing that inotropes, regardless of the dose used, have a detrimental effect on mortality, a variety of new agents are under investigation for the treatment of pulmonary and systemic congestion and restoration of cardiac output in the setting of acute heart failure syndromes. The new therapeutic approach is based on two goals: short-term improvement in symptoms together with long-term improvement of cardiac function. This review describes new agents that are in preclinical and in clinical phases with realistic prospects: anti-endothelin, natriuretic peptides, istaroxime, levosimendan, myosin activators, and vasopressin antagonists. Those new therapeutic strategies aim to act at the cellular level to improve vessel and heart functions, with minimal side effects, together with improved sodium and water balance.

journal_name

Crit Care Med

journal_title

Critical care medicine

authors

Tavares M,Rezlan E,Vostroknoutova I,Khouadja H,Mebazaa A

doi

10.1097/01.CCM.0000296810.74724.8D

subject

Has Abstract

pub_date

2008-01-01 00:00:00

pages

S112-20

issue

1 Suppl

eissn

0090-3493

issn

1530-0293

pii

00003246-200801001-00015

journal_volume

36

pub_type

杂志文章,评审
  • Inappropriate secretion of antidiuretic hormone in a postsurgical pediatric population.

    abstract::Twenty-four pediatric patients undergoing corrective posterior spinal fusion surgery for idiopathic scoliosis were studied to determine the frequency with which the syndrome of inappropriate antidiuretic hormone secretion (SIADH) developed. We measured arterial blood gases, serum and urine electrolytes and osmolalitie...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-198307000-00009

    authors: Burrows FA,Shutack JG,Crone RK

    更新日期:1983-07-01 00:00:00

  • Resuscitation from experimental heatstroke by hyperbaric oxygen therapy.

    abstract:OBJECTIVE:Heatstroke is characterized by hyperthermia, vasoplegic shock, and cerebral ischemia and hypoxia. Hyperbaric oxygen (HBO) has been shown to reduce brain ischemia and behavioral dysfunction during cerebral artery occlusion. The efficacy of HBO therapy for resuscitation from heatstroke remains to be determined ...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/01.ccm.0000159193.42628.e8

    authors: Tsai HM,Gao CJ,Li WX,Lin MT,Niu KC

    更新日期:2005-04-01 00:00:00

  • Experimental fat embolism induces urine 2,3-dinor-6-ketoprostaglandin F1alpha and 11-dehydrothromboxane B2 excretion in pigs.

    abstract:OBJECTIVE:To evaluate the in vivo production of prostacyclin and thromboxane A2 during the initial phase of experimental fat embolism as assessed, respectively, by determinations of urine 2,3-dinor-6-ketoprostaglandin F1alpha and 11-dehydrothromboxane B2 excretion. DESIGN:Randomized, controlled trial. SETTING:Animal ...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-199707000-00025

    authors: Rautanen M,Gullichsen E,Riutta A,Kuttila K,Mucha I,Nelimarkka O,Niinikoski J

    更新日期:1997-07-01 00:00:00

  • Distribution and pathophysiology of acute lobar collapse in the pediatric intensive care unit.

    abstract:OBJECTIVE:The high incidence of lower lobe collapse in adult intensive care patients is well described. We aimed to document the incidence and distribution of acute lobar collapse in the pediatric intensive care setting. The influence of anatomical and pathophysiological differences between the adult and pediatric resp...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-199908000-00035

    authors: Thomas K,Habibi P,Britto J,Owens CM

    更新日期:1999-08-01 00:00:00

  • Development and validation of a printed information brochure for families of chronically critically ill patients.

    abstract:OBJECTIVE:Families and other surrogate decisionmakers for chronically critically ill patients often lack information about patient prognosis or options for care. This study describes an approach to develop and validate a printed information brochure about chronic critical illness aimed at improving comprehension of the...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0b013e31822d7901

    authors: Carson SS,Vu M,Danis M,Camhi SL,Scheunemann LP,Cox CE,Hanson LC,Nelson JE

    更新日期:2012-01-01 00:00:00

  • Comparison of Cox and Gray's survival models in severe sepsis.

    abstract:BACKGROUND:Although survival is traditionally modeled using Cox proportional hazards modeling, this approach may be inappropriate in sepsis, in which the proportional hazards assumption does not hold. Newer, more flexible models, such as Gray's model, may be more appropriate. OBJECTIVES:To construct and compare Gray's...

    journal_title:Critical care medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/01.ccm.0000114819.37569.4b

    authors: Kasal J,Jovanovic Z,Clermont G,Weissfeld LA,Kaplan V,Watson RS,Angus DC

    更新日期:2004-03-01 00:00:00

  • Procalcitonin for reduced antibiotic exposure in the critical care setting: a systematic review and an economic evaluation.

    abstract:OBJECTIVE:Procalcitonin may be associated with reduced antibiotic usage compared to usual care. However, individual randomized controlled trials testing this hypothesis were too small to rule out harm, and the full cost-benefit of this strategy has not been evaluated. The purpose of this analysis was to evaluate the ef...

    journal_title:Critical care medicine

    pub_type: 杂志文章,meta分析,评审

    doi:10.1097/CCM.0b013e31821201a5

    authors: Heyland DK,Johnson AP,Reynolds SC,Muscedere J

    更新日期:2011-07-01 00:00:00

  • Racemic versus l-epinephrine aerosol in the treatment of postextubation laryngeal edema: results from a prospective, randomized, double-blind study.

    abstract:OBJECTIVE:To determine whether any advantage exists using racemic epinephrine instead of the more potent and less expensive levo(1)-epinephrine in the treatment of postextubation laryngeal edema. DESIGN:Prospective, double-blind, randomized study. SETTING:Pediatric intensive care unit in a university teaching hospita...

    journal_title:Critical care medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Nutman J,Brooks LJ,Deakins KM,Baldesare KK,Witte MK,Reed MD

    更新日期:1994-10-01 00:00:00

  • Assessment of the development of choked flow during total liquid ventilation.

    abstract:OBJECTIVE:The flow rate of a liquid drainage from the lungs is limited because of the elastic nature of the airways. This study was designed to clarify the relationship between intrapulmonary liquid volume and the development of the flow limitation or choked flow phenomenon as a function of expiratory flow rate during ...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/01.CCM.0000104918.48411.91

    authors: Baba Y,Brant D,Brah SS,Grotberg J,Bartlett RH,Hirschl RB

    更新日期:2004-01-01 00:00:00

  • The effects of the rate of postresuscitation rewarming following hypothermia on outcomes of cardiopulmonary resuscitation in a rat model.

    abstract:OBJECTIVE:To investigate the optimal rewarming rate following therapeutic hypothermia in a rate model of cardiopulmonary resuscitation. Both clinical and laboratory studies have demonstrated that mild therapeutic hypothermia following cardiopulmonary resuscitation improves myocardial and neurologic outcomes of cardiac ...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0b013e3182a63fff

    authors: Lu X,Ma L,Sun S,Xu J,Zhu C,Tang W

    更新日期:2014-02-01 00:00:00

  • Effects of dobutamine and norepinephrine on oxygen availability in tamponade-induced stagnant hypoxia: a prospective, randomized, controlled study.

    abstract:OBJECTIVES:To explore the effects of dobutamine and norepinephrine on the global cardiovascular response and on the relationship between oxygen uptake (VO2) and oxygen delivery (DO2) during an acute reduction in blood flow associated with tamponade. DESIGN:Prospective, randomized, controlled acute intervention study. ...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-199402000-00022

    authors: Zhang H,Spapen H,Vincent JL

    更新日期:1994-02-01 00:00:00

  • Usefulness of transcranial echography in patients with decompressive craniectomy: a comparison with computed tomography scan.

    abstract:OBJECTIVE:To assess the agreement between computed tomography and transcranial sonography in patients after decompressive craniectomy. DESIGN:Prospective study. SETTING:The medical intensive care unit of a university-affiliated teaching hospital. PATIENTS:Thirty head-injured patients consecutively admitted to the in...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0b013e318246b6ea

    authors: Caricato A,Mignani V,Bocci MG,Pennisi MA,Sandroni C,Tersali A,Antonaci A,de Waure C,Antonelli M

    更新日期:2012-06-01 00:00:00

  • Artifacts in the measurement of pulmonary artery wedge pressure.

    abstract::Pulmonary artery wedge pressure (PAWP) will only reflect left atrial pressure (LAP) if continuity of fluid exists from the catheter tip to the left atrium. Either increased airway pressure or decreased hydrostatic pressure may lead to discontinuity of the fluid column and midinterpretation of PAWP. Simultaneous measur...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-197801000-00009

    authors: Kane PB,Askanazi J,Neville JF Jr,Mon RL,Hanson EL,Webb WR

    更新日期:1978-01-01 00:00:00

  • Nosocomial Infection.

    abstract:OBJECTIVE:The first 70 years of critical care can be considered a period of "industrial revolution-like" advancement in terms of progressing the understanding and care of critical illness. Unfortunately, like the industrial revolution's impact on the environment, advancing ICU care of increasingly elderly, immunosuppre...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0000000000004783

    authors: Kollef MH,Torres A,Shorr AF,Martin-Loeches I,Micek ST

    更新日期:2021-02-01 00:00:00

  • Early combination antibiotic therapy yields improved survival compared with monotherapy in septic shock: a propensity-matched analysis.

    abstract:BACKGROUND:Septic shock represents the major cause of infection-associated mortality in the intensive care unit. The possibility that combination antibiotic therapy of bacterial septic shock improves outcome is controversial. Current guidelines do not recommend combination therapy except for the express purpose of broa...

    journal_title:Critical care medicine

    pub_type: 杂志文章,评审

    doi:10.1097/CCM.0b013e3181eb3ccd

    authors: Kumar A,Zarychanski R,Light B,Parrillo J,Maki D,Simon D,Laporta D,Lapinsky S,Ellis P,Mirzanejad Y,Martinka G,Keenan S,Wood G,Arabi Y,Feinstein D,Kumar A,Dodek P,Kravetsky L,Doucette S,Cooperative Antimicrobial Thera

    更新日期:2010-09-01 00:00:00

  • Influenza epidemiology--past, present, and future.

    abstract::In April 2009, Mexican, American, and Canadian authorities announced that a novel influenza virus with pandemic potential had been identified in large segments of the population. Within weeks, it became apparent that the world was dealing with the first influenza pandemic in >40 yrs. Despite the unpredictable nature o...

    journal_title:Critical care medicine

    pub_type: 历史文章,杂志文章,评审

    doi:10.1097/CCM.0b013e3181cbaf34

    authors: Lagacé-Wiens PR,Rubinstein E,Gumel A

    更新日期:2010-04-01 00:00:00

  • Indicator amount, temperature, and intrinsic cardiac output affect thermodilution cardiac output accuracy and reproducibility.

    abstract:OBJECTIVE:To determine the accuracy and reproducibility of four thermodilution indicators (5-mL room temperature, 10-mL room temperature, 5-mL iced, and 10-mL iced injectates) at clinically relevant flow rates. DESIGN:Quasi-experimental study. SETTING:Animal research laboratory of a health sciences university. SUBJE...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-199304000-00021

    authors: Renner LE,Morton MJ,Sakuma GY

    更新日期:1993-04-01 00:00:00

  • Physiological effects of different interfaces during noninvasive ventilation for acute respiratory failure.

    abstract:OBJECTIVE:To test the short-term physiologic effects (indexes of respiratory effort, ventilation, and gas exchange), leaks, patient-ventilator asynchrony, and comfort of four noninvasive ventilation (NIV) facial, oronasal, or oral interfaces with major differences in internal volume. DESIGN:Prospective, short-term, cr...

    journal_title:Critical care medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/CCM.0b013e31819b575f

    authors: Fraticelli AT,Lellouche F,L'her E,Taillé S,Mancebo J,Brochard L

    更新日期:2009-03-01 00:00:00

  • A Quasi-Experimental, Before-After Trial Examining the Impact of an Emergency Department Mechanical Ventilator Protocol on Clinical Outcomes and Lung-Protective Ventilation in Acute Respiratory Distress Syndrome.

    abstract:OBJECTIVES:To evaluate the impact of an emergency department mechanical ventilation protocol on clinical outcomes and adherence to lung-protective ventilation in patients with acute respiratory distress syndrome. DESIGN:Quasi-experimental, before-after trial. SETTING:Emergency department and ICUs of an academic cente...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0000000000002268

    authors: Fuller BM,Ferguson IT,Mohr NM,Drewry AM,Palmer C,Wessman BT,Ablordeppey E,Keeperman J,Stephens RJ,Briscoe CC,Kolomiets AA,Hotchkiss RS,Kollef MH

    更新日期:2017-04-01 00:00:00

  • Therapeutic hypercapnia enhances the inflammatory response to endotoxin in the lung of spontaneously breathing rats.

    abstract:OBJECTIVE:To test the hypothesis that therapeutic hypercapnia enhances the proinflammatory responses to endotoxemia in the lung and spleen of rats. DESIGN:Prospective randomized study. SETTINGS:Hospital research institute. SUBJECTS:Forty-eight adult male rats. INTERVENTIONS:Rats were randomly assigned for a 24-hr p...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0b013e31820ee1f2

    authors: Norozian FM,Leoncio M,Torbati D,Meyer K,Raszynski A,Totapally BR

    更新日期:2011-06-01 00:00:00

  • Hypercortisolism in septic shock is not suppressible by dexamethasone infusion.

    abstract:OBJECTIVE:To explore the feedback regulation of glucocorticoids on corticotropin secretion in patients with septic and nonseptic circulatory shock. DESIGN:Prospective study. SETTING:An intensive care unit of a general hospital. PATIENTS:Two groups of patients with septic shock (n = 11) or nonseptic shock (n = 7). A ...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-199303000-00018

    authors: Perrot D,Bonneton A,Dechaud H,Motin J,Pugeat M

    更新日期:1993-03-01 00:00:00

  • Prognostic indicators in pediatric near-drowning: the Glasgow coma scale.

    abstract::The records of 101 drowning or near-drowning victims admitted to Children's Hospital of Los Angeles (CHLA) between January 1975 and June 1978 were reviewed. The admission Glasgow coma score could be assigned retrospectively to 94 patients. A low score (less than 5) predicted a high risk group of patients with 80% mort...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:

    authors: Dean JM,Kaufman ND

    更新日期:1981-07-01 00:00:00

  • Mortality of patients with heatstroke admitted to intensive care units during the 2003 heat wave in France: a national multiple-center risk-factor study.

    abstract:OBJECTIVE:Heatstroke requires active body cooling and organ failure supportive care. Although heat waves are expected to recur over the next decades, little is known about the risk factors for mortality in heatstroke patients. We examined the prognosis and risk factors for hospital mortality in patients with heatstroke...

    journal_title:Critical care medicine

    pub_type: 评论,杂志文章,多中心研究

    doi:10.1097/01.CCM.0000206469.33615.02

    authors: Misset B,De Jonghe B,Bastuji-Garin S,Gattolliat O,Boughrara E,Annane D,Hausfater P,Garrouste-Orgeas M,Carlet J

    更新日期:2006-04-01 00:00:00

  • Protective effect of N-acetylcysteine on multiple organ failure induced by zymosan in the rat.

    abstract:BACKGROUND AND METHODS:In the present study, we evaluated the effect of N-acetylcysteine treatment in a nonseptic shock model induced by zymosan in the rat. Animals were randomly divided into eight groups (ten animals in each group). The first group was treated with ip administration of saline solution (0.90% NaCl) and...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-199908000-00021

    authors: Cuzzocrea S,Costantino G,Mazzon E,Caputi AP

    更新日期:1999-08-01 00:00:00

  • Acute asphyxia affects neutrophil number and function in the rat.

    abstract:OBJECTIVES:Previous studies in adults suggest that various types of physiologic stress appear to decrease phagocytic cell function. Adherence and chemotaxis of, and phagocytosis and bacterial killing by, neonatal neutrophils are altered compared with adult neutrophil function. Stresses encountered by the fetus and neon...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-199312000-00022

    authors: Beachy JC,Weisman LE

    更新日期:1993-12-01 00:00:00

  • 4-Aminopyridine, A Blocker of Voltage-Dependent K+ Channels, Restores Blood Pressure and Improves Survival in the Wistar Rat Model of Anaphylactic Shock.

    abstract:OBJECTIVES:Anaphylactic shock is associated with severe hypotension. Potassium channel blockers, such as 4-aminopyridine, induce vasoconstriction. The objective of this study was to test the ability of 4-aminopyridine to restore blood pressure and increase survival in anaphylactic shock. DESIGN:Experimental study. SE...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0000000000001822

    authors: Bellou A,Al-Hammadi S,Aburawi EH,Dhanasekaran S,Nemmar A,Oulhaj A,Shafiuallah M,Zerrouki M,Yasin J,Bellou L,Alper SL,Bellou S,Kazzam E

    更新日期:2016-11-01 00:00:00

  • The effect of anti-L-selectin (aselizumab) in multiple traumatized patients--results of a phase II clinical trial.

    abstract:OBJECTIVE:The objectives of this study were to evaluate safety (primary) and clinical efficacy (secondary) of the humanized monoclonal anti-L-selectin antibody aselizumab in severely injured patients. DESIGN:Prospective phase II, parallel group, double-blind, randomized, placebo-controlled clinical trial. SETTING:Fou...

    journal_title:Critical care medicine

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1097/01.ccm.0000142396.59236.f3

    authors: Seekamp A,van Griensven M,Dhondt E,Diefenbeck M,Demeyer I,Vundelinckx G,Haas N,Schaechinger U,Wolowicka L,Rammelt S,Stroobants J,Marzi I,Brambrink AM,Dziurdzik P,Gasiorowski J,Redl H,Beckert M,Khan-Boluki J

    更新日期:2004-10-01 00:00:00

  • Outcome of mechanically ventilated patients who require a tracheostomy.

    abstract:OBJECTIVE:To estimate the prevalence of, the risk factors associated with, and the outcome of tracheostomy in a heterogeneous population of mechanically ventilated patients. DESIGN:Prospective, observational cohort study. SETTING:A total of 361 intensive care units from 12 countries. PATIENTS:A cohort of 5,081 patie...

    journal_title:Critical care medicine

    pub_type: 评论,杂志文章,多中心研究

    doi:10.1097/01.ccm.0000150026.85210.13

    authors: Frutos-Vivar F,Esteban A,Apezteguía C,Anzueto A,Nightingale P,González M,Soto L,Rodrigo C,Raad J,David CM,Matamis D,D' Empaire G,International Mechanical Ventilation Study Group.

    更新日期:2005-02-01 00:00:00

  • Impact of a pediatric clinical pharmacist in the pediatric intensive care unit.

    abstract:OBJECTIVE:To study the impact of a clinical pharmacist in a pediatric intensive care unit. The goals of the study were to determine the type and quantity of patient care interventions recommended by a clinical pharmacist and to specifically examine cost savings (or loss) that resulted from clinical pharmacist recommend...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-200204000-00035

    authors: Krupicka MI,Bratton SL,Sonnenthal K,Goldstein B

    更新日期:2002-04-01 00:00:00

  • Differential detection of plasma hydroperoxides in sepsis.

    abstract:OBJECTIVE:To determine whether plasma lipid hydroperoxides may be a useful marker for sepsis. DESIGN:Exploratory, open-label study. SETTING:Critical care unit at a university medical center. PATIENTS:Twelve patients with sepsis syndrome requiring hemodynamic monitoring with pulmonary artery catheters. Seven patients...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-199109000-00004

    authors: Keen RR,Stella L,Flanigan DP,Lands WE

    更新日期:1991-09-01 00:00:00