tailieunhanh - Báo cáo khoa học: "The electrocardiogram for sepsis: how close are we"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: The electrocardiogram for sepsis: how close are we? | Available online http content 11 3 144 Commentary The electrocardiogram for sepsis how close are we Mitchell M Levy Rhode Island Hospital Brown University 593 Eddy St Providence RI 02903 USA Corresponding author Mitchell M Levy Mitchell_Levy@ Published 26 June 2007 Critical Care 2007 11 144 doi cc5943 This article is online at http content 11 3 144 2007 BioMed Central Ltd See related research by Kofoed et al. http content 11 2 R38 Abstract In daily clinical practice the diagnosis of sepsis is imprecise and often delayed. In part this is because the diagnosis is based on a clinical picture of signs and symptoms. This basis has significant implications as there is evidence that early events in sepsis may determine outcome. A more objective set of measurements for confirming the diagnosis of sepsis has long been sought. Several sepsis biomarkers have been evaluated and shown to have a moderate degree of sensitivity and specificity for diagnosing the presence of bacterial infection. Efforts are now being directed toward evaluating the utility of biomarker profiles containing multiple markers for risk assessment and diagnosis in patients with suspected sepsis. A recent paper in Critical Care by Kofoed and colleagues 1 is a good example of the promising new research in the field of sepsis diagnosis. Physicians who face the challenge of diagnosing sepsis whether in the emergency department on the wards or in the intensive care unit long for the day when diagnosing this common and lethal illness will be similar to identifying patients with myocardial ischemia - that we will have at our disposal an objective set of measurements such as an electrocardiogram enzymes and echocardiography. Many of us are jealous at the myriad of objective measurements available to cardiologists when considering the possibility of ischemia as a source of a given set of symptoms for a patient. In the case of diagnosing sepsis we have only a .