Etomidate for intubation of patients who have sepsis or septic shock - where do we go from here?

被引：0
|
作者：
Donald EG Griesdale
机构：
[1] Vancouver General Hospital,Department of Medicine, Division of Critical Care Medicine
[2] University of British Columbia,Department of Anesthesia, Pharmacology and Therapeutics and Department of Medicine, Division of Critical Care Medicine
[3] Vancouver General Hospital,Vancouver Coastal Health Research Institute
[4] University of British Columbia,undefined
[5] Centre for Clinical Epidemiology and Evaluation,undefined
来源：
Critical Care | / 16卷
关键词：
Septic Shock; Severe Sepsis; Adrenal Insufficiency; Etomidate; Induction Agent;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
Etomidate is an intravenous induction agent that is associated with hemodynamic stability during intubation. The agent is therefore attractive for use in critically ill patients who have a high risk of hemodynamic instability during this procedure. However, etomidate causes adrenal suppression, which itself has been associated with increased mortality in critically ill patients. The ongoing debate surrounding use of etomidate is thus centered on the immediate favorable hemodynamic profile versus the long-term risks of adrenal insufficiency, particularly in patients who have severe sepsis or septic shock.
引用
收藏
相关论文
共 50 条
  • [1] Etomidate for intubation of patients who have sepsis or septic shock - where do we go from here?
    Griesdale, Donald E. G.
    CRITICAL CARE, 2012, 16 (06):
  • [2] Hemofiltration in sepsis: where do we go from here?
    JohnA Kellum
    Rinaldo Bellomo
    Critical Care, 4
  • [3] Hemofiltration in sepsis: where do we go from here?
    Kellum, JA
    Bellomo, R
    CRITICAL CARE, 2000, 4 (02): : 69 - 71
  • [4] WHERE DO WE GO FROM HERE BOYS, WHERE DO WE GO FROM HERE
    WATTERS, D
    SCANDINAVIAN JOURNAL OF HAEMATOLOGY, 1984, 33 : 567 - 568
  • [5] WHAT HAVE WE LEARNED, AND WHERE DO WE GO FROM HERE
    GONNELLA, JS
    HOJAT, M
    ERDMANN, JB
    VELOSKI, JJ
    ACADEMIC MEDICINE, 1993, 68 (02) : S79 - S87
  • [6] What have we learned and where do we go from here
    Quartiroli, Alessandro
    Ballesteros, Jorge
    Gunter, Kensa
    Carter, Leeja
    INTERNATIONAL JOURNAL OF SPORT AND EXERCISE PSYCHOLOGY, 2021, 19 : S36 - S37
  • [7] WHERE IS HERE AND WHERE DO WE GO FROM HERE
    MAHON, B
    ONLINE & CDROM REVIEW, 1994, 18 (01): : 45 - 45
  • [8] Where do we go from here?
    Rodiek, JE
    LANDSCAPE AND URBAN PLANNING, 2002, 58 (01) : 1 - 4
  • [9] Where do we go from here?
    Bullock, Roger
    ADOPTION AND FOSTERING, 2009, 33 (01): : 2 - 3
  • [10] Where do we go from here?
    T.R. Gadacz
    Surgical Endoscopy, 2003, 17 : 1 - 2
12345