[HTML][HTML] Vasoplegia treatments: the past, the present, and the future

B Levy, C Fritz, E Tahon, A Jacquot, T Auchet… - Critical care, 2018 - Springer
Vasoplegia is a ubiquitous phenomenon in all advanced shock states, including septic,
cardiogenic, hemorrhagic, and anaphylactic shock. Its pathophysiology is complex, involving …

Sepsis‐induced acute kidney injury: a disease of the microcirculation

S Ma, RG Evans, N Iguchi, M Tare… - …, 2019 - Wiley Online Library
AKI is a common complication of sepsis and is significantly associated with mortality. Sepsis
accounts for more than 50% of the cases of AKI, with a mortality rate of up to 40%. The …

[HTML][HTML] The effect of dexmedetomidine on vasopressor requirements in patients with septic shock: a subgroup analysis of the Sedation Practice in Intensive Care …

L Cioccari, N Luethi, M Bailey, Y Shehabi, B Howe… - Critical care, 2020 - Springer
Background Septic shock is associated with decreased vasopressor responsiveness.
Experimental data suggest that central alpha2-agonists like dexmedetomidine (DEX) …

The effect of propofol and dexmedetomidine sedation on norepinephrine requirements in septic shock patients: a crossover trial

A Morelli, F Sanfilippo, P Arnemann… - Critical care …, 2019 - journals.lww.com
Objectives: Propofol-based sedation may increase hemodynamic instability by decreasing
vascular tone and venous return. Incremental exogenous catecholamines doses may be …

[HTML][HTML] Practical approach to diastolic dysfunction in light of the new guidelines and clinical applications in the operating room and in the intensive care

F Sanfilippo, S Scolletta, A Morelli… - Annals of intensive …, 2018 - Springer
There is growing evidence both in the perioperative period and in the field of intensive care
(ICU) on the association between left ventricular diastolic dysfunction (LVDD) and worse …

Emerging benefits and drawbacks of α2‐adrenoceptor agonists in the management of sepsis and critical illness

YR Lankadeva, Y Shehabi, AM Deane… - British journal of …, 2021 - Wiley Online Library
Agonists of α2‐adrenoceptors are increasingly being used for the provision of comfort,
sedation and the management of delirium in critically ill patients, with and without sepsis. In …

[HTML][HTML] The effect of dexmedetomidine and clonidine on the inflammatory response in critical illness: a systematic review of animal and human studies

CA Flanders, AS Rocke, SA Edwardson, JK Baillie… - Critical Care, 2019 - Springer
Background The α2 agonists, dexmedetomidine and clonidine, are used as sedative drugs
during critical illness. These drugs may have anti-inflammatory effects, which might be …

[HTML][HTML] Renal perfusion, oxygenation, and sympathetic nerve activity during volatile or intravenous general anaesthesia in sheep

N Iguchi, J Kosaka, LC Booth, Y Iguchi… - British journal of …, 2019 - Elsevier
Background Global and intra-renal perfusion and oxygenation may be affected by the choice
of anaesthetic. We compared the effects of isoflurane with those of propofol and fentanyl on …

[HTML][HTML] Dexmedetomidine reduces norepinephrine requirements and preserves renal oxygenation and function in ovine septic acute kidney injury

YR Lankadeva, S Ma, N Iguchi, RG Evans, SG Hood… - Kidney international, 2019 - Elsevier
Norepinephrine exacerbates renal medullary hypoxia in experimental septic acute kidney
injury. Here we examined whether dexmedetomidine, an α2-adrenergic agonist, can restore …

Renal medullary hypoxia: a new therapeutic target for septic acute kidney injury?

YR Lankadeva, N Okazaki, RG Evans, R Bellomo… - Seminars in …, 2019 - Elsevier
Renal tissue hypoxia has been implicated as a critical mediatory factor in multiple forms of
acute kidney injury (AKI), including in sepsis. In sepsis, whole-kidney measures of …