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Intensive Care Medicine

, Volume 42, Issue 3, pp 418–421 | Cite as

What’s new with biomarker-driven clinical strategy in sepsis and circulatory failure?

  • Armand Mekontso DessapEmail author
  • Lorraine B. Ware
  • Lila Bouadma
What's New in Intensive Care

Introduction

Biomarkers are increasingly used in modern medicine. Troponin monitoring for acute coronary syndrome is a good example of widespread biomarker-driven clinical strategy. However, in intensive care unit (ICU) patients, the cardiac ischemic origin and clinical implications of elevated troponin are unclear, although this biomarker may be of help in identifying septic patients with sepsis-induced myocardial dysfunction and/or a risk of death [1]. Only a few biomarkers have proved useful to drive clinical strategies in acutely ill patients. We will examine the main recent findings in this era in ICU patients with sepsis or circulatory failure.

Sepsis

Sepsis biomarkers have three main purposes in ICU patients. First, they can be used to estimate the likelihood of an infection in order to help physicians decide whether or not to initiate antimicrobial treatment and possibly avoid unnecessary antibiotic use. While there are numerous candidate biomarkers suggested for this purpose,...

Keywords

Intensive Care Unit Patient Circulatory Failure Lactate Clearance Central Venous Oxygen Saturation Pancreatic Stone Protein 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Compliance with ethical standards

Conflicts of interest

The authors declare no conflict of interest.

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Copyright information

© Springer-Verlag Berlin Heidelberg and ESICM 2015

Authors and Affiliations

  • Armand Mekontso Dessap
    • 1
    • 2
    Email author
  • Lorraine B. Ware
    • 3
  • Lila Bouadma
    • 4
    • 5
    • 6
  1. 1.Assistance Publique-Hôpitaux de Paris, DHU A-TVB, Service de Réanimation MédicaleHôpitaux Universitaires Henri MondorCréteil CedexFrance
  2. 2.Faculté de Médecine de Créteil, IMRB, Groupe de Recherche Clinique CARMASUniversité Paris Est CréteilCréteilFrance
  3. 3.Division of Allergy, Pulmonary, and Critical Care Medicine, T1218 Medical Center North Department of MedicineVanderbilt University School of MedicineNashvilleUSA
  4. 4.Assistance Publique-Hôpitaux de Paris, Réanimation Médicale et des Maladies Infectieuses, Hôpital Bichat-Claude-BernardHôpitaux Universitaires Paris Nord-Val de Seine, ParisParisFrance
  5. 5.INSERM, IAME Team 5 DeScID : Decision Science in Infectious Diseases, Control and Care, UMR 1137ParisFrance
  6. 6.University Paris DiderotSorbonne Paris CitéParisFrance

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