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[Are there certified indications for the use of antithrombin III in intensive care].

Abstract
The serine-protease-inhibitor antithrombin III (AT III) has often been recommended for the therapy of septic patients as it provides anticoagulant and antiinflammatory actions. In animal studies the prophylactic treatment with AT III in a dose > 250 U/kg prevented the development of disseminated intravascular coagulopathy and vital organ dysfunction during sepsis and lowered the mortality rate. In clinical studies with septic patients therapy usually was started several hours after the start of the disease in dosages much lower than those used in animal studies. In these patients AT III-therapy improved laboratory changes of disseminated intravascular coagulopathy but was unable to lower the mortality rate. Hereditary AT III deficiency, lack of heparin effect due to low AT III levels, disseminated intravascular coagulation disorders are indications for the use of AT III while beneficial effects of AT III in patients suffering from SIRS, sepsis or septic shock have not yet been demonstrated.
AuthorsP J Kulka, M Tryba, S Lange
JournalAnasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS (Anasthesiol Intensivmed Notfallmed Schmerzther) Vol. 36 Issue 3 Pg. 143-53 (Mar 2001) ISSN: 0939-2661 [Print] Germany
Vernacular TitleGibt es gesicherte Indikationen für den Einsatz von Antithrombin III in der Intensivmedizin?
PMID11324345 (Publication Type: English Abstract, Journal Article, Review)
Chemical References
  • Serine Proteinase Inhibitors
  • Antithrombin III
Topics
  • Antithrombin III (therapeutic use)
  • Clinical Trials as Topic
  • Critical Care
  • Humans
  • Sepsis (drug therapy, physiopathology)
  • Serine Proteinase Inhibitors (therapeutic use)
  • Shock, Septic (drug therapy, physiopathology)

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