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Best blood pressure in septic shock NEJM 2014 edito 99%

The n e w e ng l a n d j o u r na l of m e dic i n e edi t or i a l Is There a Good MAP for Septic Shock?

https://www.fichier-pdf.fr/2014/03/18/best-blood-pressure-in-septic-shock-nejm-2014-edito/

18/03/2014 www.fichier-pdf.fr

Understanding cardiac failure in sepsis 99%

LV systolic dysfunction, also usually called ‘‘septic cardiomyopathy,’’ is often present.

https://www.fichier-pdf.fr/2016/08/23/understanding-cardiac-failure-in-sepsis/

23/08/2016 www.fichier-pdf.fr

Septic shock Protocol based care NEJM 2014 edito 98%

Early recognition of sepsis was incorporated into the trial design, prompts, and protocols of the Protocolized Care for Early Septic Shock (ProCESS) trial, the results of which are now reported in the Journal.5 For all the groups in the trial, the goal was early recognition of sepsis, as specified in the Surviving Sepsis Campaign guidelines,3 and the design called for early treatment with antimicrobial agents6 and conservative transfusion thresholds;

https://www.fichier-pdf.fr/2014/03/18/septic-shock-protocol-based-care-nejm-2014-edito/

18/03/2014 www.fichier-pdf.fr

Current management of Gram-negative septic shock 97%

QCO 310610 REVIEW URRENT C OPINION Current management of Gram-negative septic shock Jean-Louis Vincent and Wasineenart Mongkolpun Purpose of review Sepsis is a common condition in critically ill patients and associated with high morbidity and mortality.

https://www.fichier-pdf.fr/2018/11/09/current-management-of-gram-negative-septic-shock/

09/11/2018 www.fichier-pdf.fr

Beta Blockade Septic Shock 97%

Microvascular Effects of Heart Rate Control With Esmolol in Patients With Septic Shock:

https://www.fichier-pdf.fr/2013/10/16/beta-blockade-septic-shock/

16/10/2013 www.fichier-pdf.fr

PCT Peritonite Crit Care 96%

Procalcitonin biomarker kinetics fails to predict treatment response in perioperative abdominal infection with septic shock Critical Care 2013, 17:R255 doi:10.1186/cc13082 Boris Jung (b-jung@chu-montpellier.fr) Nicolas Molinari (n-molinari@chu-montpellier.fr) Mourad Nasri (nasrimourad80@yahoo.fr) Zied Hajjej (hajjej_zied@hotmail.com) Gerald Chanques (g-chanques@chu-montpellier.fr) Helene Jean-Pierre (h-jean_pierre@chu-montpellier.fr) Fabrizio Panaro (f-panaro@chu-montpellier.fr) Samir Jaber (s-jaber@chu-montpellier.fr) ISSN Article type 1364-8535 Research Submission date 12 June 2013 Acceptance date 11 September 2013 Publication date 24 October 2013 Article URL http://ccforum.com/content/17/5/R255 This peer-reviewed article can be downloaded, printed and distributed freely for any purposes (see copyright notice below).

https://www.fichier-pdf.fr/2013/10/28/pct-peritonite-crit-care/

28/10/2013 www.fichier-pdf.fr

Surviving Sepsis Campaign 93%

International Guidelines for Management of Sepsis and Septic Shock:

https://www.fichier-pdf.fr/2017/01/19/surviving-sepsis-campaign/

19/01/2017 www.fichier-pdf.fr

Preload dependence and septic shock CCM2015 93%

Critical Care (2015) 19:5 DOI 10.1186/s13054-014-0734-3 RESEARCH Open Access Preload dependence indices to titrate volume expansion during septic shock:

https://www.fichier-pdf.fr/2015/02/19/preload-dependence-and-septic-shock-ccm2015/

19/02/2015 www.fichier-pdf.fr

The 3rd International Consensus Definitions septic shock 93%

Education Special Communication | CARING FOR THE CRITICALLY ILL PATIENT The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3) Mervyn Singer, MD, FRCP;

https://www.fichier-pdf.fr/2016/02/22/the-3rd-international-consensus-definitions-septic-shock/

22/02/2016 www.fichier-pdf.fr

PICCO-based fluid management in septic shock 92%

Intensive Care Med DOI 10.1007/s00134-014-3638-4 Zhongheng Zhang Hongying Ni Zhixian Qian ORIGINAL Effectiveness of treatment based on PiCCO parameters in critically ill patients with septic shock and/or acute respiratory distress syndrome:

https://www.fichier-pdf.fr/2015/02/19/picco-based-fluid-management-in-septic-shock/

19/02/2015 www.fichier-pdf.fr

Pathophysiology of microcirculatory dysfunction 2014 91%

© 2014 Landes Bioscience Pathophysiology of microcirculatory dysfunction and the pathogenesis of septic shock Daniel De Backer*, Diego Orbegozo Cortes, Katia Donadello, and Jean-Louis Vincent Department of Intensive Care;

https://www.fichier-pdf.fr/2014/02/02/pathophysiology-of-microcirculatory-dysfunction-2014/

02/02/2014 www.fichier-pdf.fr

immunosuppression in sepsis 91%

autopsy results have shown that most patients admitted to intensive care units for treatment of sepsis had unresolved septic foci at post mortem, suggesting that patients were unable to eradicate invading pathogens and were more susceptible to nosocomial organisms, or both.

https://www.fichier-pdf.fr/2013/10/26/immunosuppression-in-sepsis/

26/10/2013 www.fichier-pdf.fr

physiologie du retour veineux 2 88%

Intensivists deal with a broader array of cardiovascular perturbations including shock states in which vascular dysfunction and other extracardiac perturbations may dominate the clinical picture (e.g., septic, hypovolemic, or obstructive shock).

https://www.fichier-pdf.fr/2013/10/14/physiologie-du-retour-veineux-2/

14/10/2013 www.fichier-pdf.fr

Septic shock Protocol based care NEJM 2014 87%

The n e w e ng l a n d j o u r na l of m e dic i n e original article A Randomized Trial of Protocol-Based Care for Early Septic Shock The ProCESS Investigators* A BS T R AC T Background In a single-center study published more than a decade ago involving patients presenting to the emergency department with severe sepsis and septic shock, mortality was markedly lower among those who were treated according to a 6-hour protocol of early goal-directed therapy (EGDT), in which intravenous fluids, vasopressors, inotropes, and blood transfusions were adjusted to reach central hemodynamic targets, than among those receiving usual care.

https://www.fichier-pdf.fr/2014/03/18/septic-shock-protocol-based-care-nejm-2014/

18/03/2014 www.fichier-pdf.fr

Best blood pressure in septic shock NEJM 2014 87%

The n e w e ng l a n d j o u r na l of m e dic i n e original article High versus Low Blood-Pressure Target in Patients with Septic Shock Pierre Asfar, M.D., Ph.D., Ferhat Meziani, M.D., Ph.D., Jean-François Hamel, M.D., Fabien Grelon, M.D., Bruno Megarbane, M.D., Ph.D., Nadia Anguel, M.D., Jean-Paul Mira, M.D., Ph.D., Pierre-François Dequin, M.D., Ph.D., Soizic Gergaud, M.D., Nicolas Weiss, M.D., Ph.D., François Legay, M.D., Yves Le Tulzo, M.D., Ph.D., Marie Conrad, M.D., René Robert, M.D., Ph.D., Frédéric Gonzalez, M.D., Christophe Guitton, M.D., Ph.D., Fabienne Tamion, M.D., Ph.D., Jean-Marie Tonnelier, M.D., Pierre Guezennec, M.D., Thierry Van Der Linden, M.D., Antoine Vieillard-Baron, M.D., Ph.D., Eric Mariotte, M.D., Gaël Pradel, M.D., Olivier Lesieur, M.D., Jean-Damien Ricard, M.D., Ph.D., Fabien Hervé, M.D., Damien Du Cheyron, M.D., Ph.D., Claude Guerin, M.D., Ph.D., Alain Mercat, M.D., Ph.D., Jean-Louis Teboul, M.D., Ph.D., and Peter Radermacher, M.D., Ph.D.

https://www.fichier-pdf.fr/2014/03/18/best-blood-pressure-in-septic-shock-nejm-2014/

18/03/2014 www.fichier-pdf.fr

circulatory-shock-nejm-2013 85%

Differ en t i a l Di agnosis Septic shock, a form of distributive shock, is the most common form of shock among patients in the ICU, followed by cardiogenic and hypovolemic shock;

https://www.fichier-pdf.fr/2013/11/06/circulatory-shock-nejm-2013/

06/11/2013 www.fichier-pdf.fr

SSC Point Prevalence Study Sepsis Protocol v7 85%

The  Surviving  Sepsis  Campaign   As  the  Surviving  Sepsis  Campaign  marks  10  years  of  progress  with  the  publication  of  the  third  edition   of  its  “International  Guidelines  for  Management  of  Severe  Sepsis  and  Septic  Shock,”  we  are  gratified  to   reflect  on  what  has  been  achieved  through  committed  participation  in  the  Campaign  by  clinicians   worldwide.

https://www.fichier-pdf.fr/2013/11/02/ssc-point-prevalence-study-sepsis-protocol-v7/

02/11/2013 www.fichier-pdf.fr

brochure english 84%

2014 - Italian design - Iso standard systems (telephone, electrical and water system) - Waterproofing membrane on the roof and waterproofed wood - Italian electrical switch Vimarplana - Preparation of air conditioning and fans - Joint tank with a stabilizing pressure pump - 6 cm laminated windows double glazing - Independent septic tank - Entrance door in solid wood with 3 safety points, inner doors in laminated wood, white aluminum lacquered frames - Connection with public water and energy, external intercom - Stoneware floor 60x60 - Italian kitchen and furniture - High-quality sanitary fittings in chrome steel and white ceramic - Terrace banister in aluminium gray lacquered - Inside and outside painting in Novaqua plastic INVESTMENT Real Estate NH21 INVESTMENT www.newhome21.com FB:

https://www.fichier-pdf.fr/2016/05/14/brochure-english/

14/05/2016 www.fichier-pdf.fr

brochure english 84%

2014 - Italian design - Iso standard systems (telephone, electrical and water system) - Waterproofing membrane on the roof and waterproofed wood - Italian electrical switch Vimarplana - Preparation of air conditioning and fans - Joint tank with a stabilizing pressure pump - 6 cm laminated windows double glazing - Independent septic tank - Entrance door in solid wood with 3 safety points, inner doors in laminated wood, white aluminum lacquered frames - Connection with public water and energy, external intercom - Stoneware floor 60x60 - Italian kitchen and furniture - High-quality sanitary fittings in chrome steel and white ceramic - Terrace banister in aluminium gray lacquered - Inside and outside painting in Novaqua plastic INVESTMENT Real Estate NH21 INVESTMENT www.newhome21.com FB:

https://www.fichier-pdf.fr/2016/05/14/brochure-english-1/

14/05/2016 www.fichier-pdf.fr

Microbiological contamination of groundwater 82%

Moreover, latrines and septic tanks are often discharged into the unsaturated zone of the geological matrix are also retained.

https://www.fichier-pdf.fr/2017/10/06/microbiological-contamination-of-groundwater/

06/10/2017 www.fichier-pdf.fr

Microbiological contamination of groundwater 82%

Moreover, latrines and septic tanks are often discharged into the unsaturated zone of the geological matrix are also retained.

https://www.fichier-pdf.fr/2018/10/15/microbiological-contamination-of-groundwater/

15/10/2018 www.fichier-pdf.fr

lyseconcept in short 79%

Any effluent having a bacterial population unable to fulfill its function of reduction of the organic matter it cannot be described like septic.

https://www.fichier-pdf.fr/2015/04/19/lyseconcept-in-short/

19/04/2015 www.fichier-pdf.fr

Waste waters organic farming in DRC 79%

For the 1st site, each building of the parish is equipped with a septic tank of a volume of 7 m3à 10m3 approximately which stores the wastewater effluent and which must be drained once filled to the brim.

https://www.fichier-pdf.fr/2015/04/19/waste-waters-organic-farming-in-drc/

19/04/2015 www.fichier-pdf.fr

Angus,NEJM,2013Review (1) 77%

Finfer, M.D., and Jean-Louis Vincent, M.D., Ph.D., Editors Severe Sepsis and Septic Shock Derek C.

https://www.fichier-pdf.fr/2013/10/19/angus-nejm-2013review-1/

19/10/2013 www.fichier-pdf.fr