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Journal ArticleDOI

Double-blind randomised controlled trial of monoclonal antibody to human tumour necrosis factor in treatment of septic shock

TLDR
It was found there was no association between therapy with TNFα MAb and increased rapidity in reversal of initial shock or prevention of subsequent shock, and baseline plasma interleukin-6 concentrations were not associated with improvement in survival after TNF α MAb therapy.
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This article is published in The Lancet.The article was published on 1998-03-28. It has received 647 citations till now. The article focuses on the topics: Septic shock & Intensive care.

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Citations
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Genomic responses in mouse models poorly mimic human inflammatory diseases

TL;DR: This study shows that, although acute inflammatory stresses from different etiologies result in highly similar genomic responses in humans, the responses in corresponding mouse models correlate poorly with the human conditions and also, one another.
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Cholinergic agonists inhibit HMGB1 release and improve survival in experimental sepsis.

TL;DR: The authors showed that nicotine attenuates serum HMGB1 levels and improves survival in experimental models of sepsis, even when treatment is started after the onset of the disease and suggest that selective nicotinic agonists for the α7nAChR might have therapeutic potential for the treatment of septicemia.
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The role of the endothelium in severe sepsis and multiple organ dysfunction syndrome

TL;DR: The goals of this article are to provide an overview of sepsis and its complications, discuss the role of the endothelium in orchestrating the host response insepsis, and emphasize the potential value of the artery as a target for sepsi therapy.
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Sepsis and septic shock

TL;DR: With earlier recognition and more compliance to best practices, sepsis has become less of an immediate life-threatening disorder and more of a long-term chronic critical illness, often associated with prolonged inflammation, immune suppression, organ injury and lean tissue wasting.
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Acute renal failure: definitions, diagnosis, pathogenesis, and therapy

TL;DR: The epidemiology and pathophysiology of ARF are discussed, including the vascular, tubular, and inflammatory perturbations and implications for potential future therapies to decrease the high mortality.
References
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APACHE II: a severity of disease classification system.

TL;DR: The form and validation results of APACHE II, a severity of disease classification system that uses a point score based upon initial values of 12 routine physiologic measurements, age, and previous health status, are presented.
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Anti-cachectin/TNF monoclonal antibodies prevent septic shock during lethal bacteraemia

TL;DR: Protection against shock, vital organ dysfunction, persistent stress hormone release and death was conferred by administration of antibodies 2 h before bacterial infusion, indicating that cachectin is a mediator of fatal bacteraemic shock and suggesting that antibodies against Cachectin offer a potential therapy of life-threatening infection.
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The Natural History of the Systemic Inflammatory Response Syndrome (SIRS): A Prospective Study

TL;DR: This prospective epidemiologic study of SIRS and related conditions provides the first evidence of a clinical progression from SirS to sepsis to severe sepsi and septic shock, and stepwise increases in mortality rates in the hierarchy.
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Detection of circulating tumor necrosis factor after endotoxin administration.

TL;DR: It is concluded that the response to endotoxin is associated with a brief pulse of circulating tumor necrosis factor and that the resultant responses are effected through the cyclooxygenase pathway.
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