Septic Shock: European View (update In Intensive Care And Emergency Medicine) (volume 4)

The European Society of Intensive Care and the European Shock Society selected a group of expert scientists and clinicians in the field of septic shock to define the acquired knowledge, the present controversies and the priorities for future research. This conference was held in Brussels on March 1-2, 1987. The reports of the discussion have been collected in this "state of the art" update on septic shock. Front Matter....Pages I-IX Cell Metabolic Failure in Septic Shock....Pages 1-12 Cellular Function in Septic Shock....Pages 13-25 Disturbances in Microcirculatory Regulation in Septic Shock....Pages 26-34 Microcirculatory Changes in Endotoxinemia and Septic Shock....Pages 35-42 Systemic Microvascular Permeability in Septic Shock....Pages 43-50 Mediators of Sepsis....Pages 51-73 The Possible Roles of Lipoxygenase Products of Arachidonic Acid Metabolism and of Platelet Activating Factor in Shock....Pages 74-88 Role of Prostaglandins and Thromboxane....Pages 89-107 The Participation of Oxygen Free Radicals in Septic Shock....Pages 108-115 The Role of Proteolytic Enzyme Systems with Particular Emphasis on the Plasma Kallikrein-Kinin System During Septicemia and Septic Shock....Pages 116-128 Myocardial Depressant Substances in Septic Shock....Pages 129-138 Coronary Hemodynamics and Myocardial Metabolism in Septic Shock....Pages 139-147 Mismatch of the Oxygen Supply and Demand in Septic Shock....Pages 148-160 The Circulatory Defect of Septic Shock....Pages 161-178 Aspects of Shock in Childhood....Pages 179-185 Choice of Fluids and Vasoactive Agents....Pages 186-196 Whole Body Energy Metabolism in the Hyperdynamic Phase of Sepsis....Pages 197-213 Microbiological Aspects of Septic Shock....Pages 214-225 Selection of Antimicrobial Therapy in Septic Shock and Other Severe Infections....Pages 226-247 Immunotherapy of Life-threatening Gram-negative Infections: Facts and Controversies....Pages 248-259 Corticosteroids in Patients with Septic Shock....Pages 260-267 Endogenous Opioid Peptides in Shock....Pages 268-275 Fibronectin: Adjunctive Therapy in Sepsis....Pages 276-282 Prognosis of Septic Shock....Pages 283-288 Back Matter....Pages 289-291