The New England Journal of Medicine
e-mail icon  FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |    Advanced Search
Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe
 
Review Article
Current Concepts
PreviousPrevious
Volume 340:207-214 January 21, 1999 Number 3
NextNext

Treating Patients with Severe Sepsis
Arthur P. Wheeler, M.D., and Gordon R. Bernard, M.D.

Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

 Sign up for free e-toc
 

This Article
-Full Text
- PDF
-Purchase this article

Commentary
-Letters

Tools and Services
-Add to Personal Archive
-Add to Citation Manager
-Notify a Friend
-E-mail When Cited

More Information
-PubMed Citation
Sepsis is an infection-induced syndrome defined as the presence of two or more of the following features of systemic inflammation: fever or hypothermia, leukocytosis or leukopenia, tachycardia, and tachypnea or a supranormal minute ventilation.1 When an organ system begins to fail because of sepsis, the sepsis is considered severe. Each year, sepsis develops in more than 500,000 patients in the United States, and only 55 to 65 percent survive.2,3 Fortunately, the death rates in some subgroups of patients with sepsis-induced organ failure have decreased, even though there is no specific therapy for sepsis.3,4 The reduced mortality may be due to . . . [Full Text of this Article]

The Inflammatory Cascade

Infection Site and Microbiologic Considerations

Antimicrobial Therapy

Organ Failure

Pulmonary Dysfunction

Cardiovascular Failure

Renal Dysfunction

Gastrointestinal Dysfunction and Nutrition

Other Organ Systems

General Supportive Care

Summary


Source Information

From the Center for Lung Research and the Division of Allergy, Pulmonary and Critical Care Medicine, Department of Medicine, Vanderbilt University School of Medicine, where reprint requests should be addressed to Dr. Bernard at T-1208 Medical Center No., Nashville, TN 37232-2650, or at gordon.bernard@mcmail.vanderbilt.edu.

References


Related Letters:

Treating Patients with Severe Sepsis
Meier-Hellmann A., Bredle D. L., Reinhart K., Luan F. L., Felbinger T. W., Suchner U., Goetz A. E., Wheeler A. P., Bernard G. R.
Extract | Full Text  
N Engl J Med 1999; 341:56-57, Jul 1, 1999. Correspondence

This article has been cited by other articles:



HOME  |  SUBSCRIBE  |  SEARCH  |  CURRENT ISSUE  |  PAST ISSUES  |  COLLECTIONS  |  PRIVACY  |  TERMS OF USE  |  HELP  |  beta.nejm.org

Comments and questions? Please contact us.

The New England Journal of Medicine is owned, published, and copyrighted © 2009 Massachusetts Medical Society. All rights reserved.