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Genomes and Genes | Konrad ReinhartSummaryAffiliation: Friedrich Schiller University Country: Germany Publications
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Publications
New approaches to sepsis: molecular diagnostics and biomarkersKonrad Reinhart
Department of Anesthesiology and Intensive Care Medicine, Jena University Hospital, Friedrich Schiller University, Jena, Germany
Clin Microbiol Rev 25:609-34. 2012..Novel approaches to sepsis promise to transform sepsis from a physiologic syndrome into a group of distinct biochemical disorders and help in the development of better diagnostic tools and effective adjunctive sepsis therapies...
Consensus statement of the ESICM task force on colloid volume therapy in critically ill patientsKonrad Reinhart
Department for Anesthesiology and Intensive Care Medicine, Jena University Hospital, Friedrich Schiller University, Erlanger Allee 101, 07747 Jena, Germany
Intensive Care Med 38:368-83. 2012..We suggest not to use hyperoncotic solutions for fluid resuscitation. We conclude and recommend that any new colloid should be introduced into clinical practice only after its patient-important safety parameters are established...
Randomized trial evaluating serial protein C levels in severe sepsis patients treated with variable doses of drotrecogin alfa (activated)Andrew F Shorr
Washington Hospital Center, 110 Irving Street NW, Washington DC 20010, USA
Crit Care 14:R229. 2010..The purpose of this study was to evaluate the dose and duration of drotrecogin alfa (activated) treatment using serial measurements of protein C compared to standard therapy in patients with severe sepsis...
Diagnosis of ventilator-associated pneumonia: a systematic review of the literatureAlvaro Rea-Neto
Department of Anesthesiology and Intensive Care, Friedrich Schiller University Hospital, 07743 Jena, Germany
Crit Care 12:R56. 2008....
Protein C: a potential biomarker in severe sepsis and a possible tool for monitoring treatment with drotrecogin alfa (activated)Andrew F Shorr
Department of Medicine, Section of Pulmonary and Critical Care Medicine, Washington Hospital Center, Irving Street, Washington, District of Columbia 20010, USA
Crit Care 12:R45. 2008..The goal of this study was to identify a dependable, sensitive measure with which to monitor disease progression and response in patients during DrotAA treatment...
The international PROGRESS registry of patients with severe sepsis: drotrecogin alfa (activated) use and patient outcomesGreg Martin
Division of Pulmonary, Allergy, and Critical Care, Emory University, Atlanta, Georgia 30322, USA
Crit Care 13:R103. 2009....
Global utilization of low-dose corticosteroids in severe sepsis and septic shock: a report from the PROGRESS registryRichard Beale
Division of Asthma, King s College London, Guy s, Campus, Great Maze Pond, London SE1 9RT, UK
Crit Care 14:R102. 2010....
Is albumin administration in the acutely ill associated with increased mortality? Results of the SOAP studyJean Louis Vincent
Department of Intensive Care, Erasme Hospital, Free University of Brussels, Route de Lennik 808, 1070 Brussels, Belgium
Crit Care 9:R745-54. 2005..Albumin administration in the critically ill has been the subject of some controversy. We investigated the use of albumin solutions in European intensive care units (ICUs) and its relationship to outcome...
Anemia and blood transfusion in a surgical intensive care unitYasser Sakr
Department of Anesthesiology and Intensive Care, Friedrich Schiller University Hospital, Erlanger Allee 103, Jena 07743, Germany
Crit Care 14:R92. 2010..Studies in intensive care unit (ICU) patients have suggested that anemia and blood transfusions can influence outcomes, but these effects have not been widely investigated specifically in surgical ICU patients...
A positive fluid balance is associated with a worse outcome in patients with acute renal failureDidier Payen
Department of Anesthesiology and Intensive Care, CHU Lariboisière, 2, rue Ambroise Pare, F 75475 Paris Cedex 10, France
Crit Care 12:R74. 2008..The aim of the present observational study was to analyze the influence of patient characteristics and fluid balance on the outcome of ARF in intensive care unit (ICU) patients...
Biomarkers as a guide for antimicrobial therapyKonrad Reinhart
Department of Anaesthesiology and Intensive Care Medicine, Friedrich Schiller University, Jena, Germany
Int J Antimicrob Agents 36:S17-21. 2010..However, the utility of these novel diagnostic tools in the clinical setting remains to be proven...
Markers for sepsis diagnosis: what is useful?Konrad Reinhart
Department of Anaesthesiology and Intensive Care Medicine, Friedrich Schiller University, Erlanger Allee 101, D 07743 Jena, Germany
Crit Care Clin 22:503-19, ix-x. 2006..It is important to identify markers for an early diagnosis of sepsis and organ dysfunction. This article presents currently interesting sepsis biomarkers. Other novel markers and their potential role are discussed...
Anti-tumor necrosis factor therapy in sepsis: update on clinical trials and lessons learnedK Reinhart
Department of Anesthesiology and Intensive Care Medicine, University Hospital, Jena, Germany
Crit Care Med 29:S121-5. 2001..Tumor necrosis factor (TNF) is an important mediator involved in the pathogenesis of sepsis. We review clinical studies investigating the efficacy of anti-TNF therapy in decreasing mortality rates in septic patients...
Continuous central venous and pulmonary artery oxygen saturation monitoring in the critically illKonrad Reinhart
Department of Anesthesia and Intensive Care Medicine, Friedrich Schiller University, Erlanger Allee 101, 07747 Jena, Germany
Intensive Care Med 30:1572-8. 2004..To compare the course of continuously measured mixed and central venous O(2) saturations in high-risk patients and to evaluate the impact of various factors that might interfere with reflection spectrophotometry...
Effects of fluid resuscitation with synthetic colloids or crystalloids alone on shock reversal, fluid balance, and patient outcomes in patients with severe sepsis: a prospective sequential analysisOle Bayer
Department of Anesthesiology and Intensive Care Medicine, Friedrich Schiller University Jena, Jena, Germany
Crit Care Med 40:2543-51. 2012..To assess shock reversal and required fluid volumes in patients with septic shock...
Antiplatelet drugs and outcome in mixed admissions to an intensive care unitJohannes Winning
Medical Doctor and Senior Officer, Clinic of Anesthesiology and Intensive Care Medicine, University Hospital Jena, Jena, Germany
Crit Care Med 38:32-7. 2010..Platelet activation has been implicated in microvascular thrombosis and organ failure. We tested the hypothesis that antiplatelet drugs favorably affect outcome in patients nonelectively admitted to an intensive care unit...
Variations in the ratio between von Willebrand factor and its cleaving protease during systemic inflammation and association with severity and prognosis of organ failureRalf A Claus
Dept of Anaesthesiology and Intensive Care Medicine, Friedrich Schiller University, Erlanger Allee 101, D 07747 Jena, Germany
Thromb Haemost 101:239-47. 2009..These findings suggest that ADAMTS13, VWF and related parameters, even in a combined approach, might be useful for the diagnosis and the therapeutic monitoring of patients with sepsis associated thrombotic microangiopathy...
Renal effects of synthetic colloids and crystalloids in patients with severe sepsis: a prospective sequential comparisonOle Bayer
Department of Anesthesiology and Intensive Care Medicine, Jena University Hospital, Jena, Germany
Crit Care Med 39:1335-42. 2011..4 and gelatin are considered to be less harmful. We hypothesized that fluid therapy with only crystalloids would decrease the incidence of acute kidney injury...
Antithrombin levels, morbidity, and mortality in a surgical intensive care unitYasser Sakr
Department of Anesthesiology and Intensive Care, and Institute of Clinical Chemistry and Laboratory Medicine, Friedrich Schiller University Hospital, Jena, Germany
Anesth Analg 105:715-23. 2007..We investigated the time course of AT levels in a surgical ICU and tested the hypothesis that AT levels may be associated with morbidity and increased mortality rates in a cohort of surgical ICU patients...
Lipopolysaccharide binding protein in a surgical intensive care unit: a marker of sepsis?Yasser Sakr
Department of Anesthesiology and Intensive Care, Friedrich Schiller University Hospital, Jena, Germany
Crit Care Med 36:2014-22. 2008....
Epidemiology of and factors associated with end-of-life decisions in a surgical intensive care unitAnne Meissner
Department of Anesthesiology and Intensive Care, Friedrich Schiller University Hospital, Jena, Germany
Crit Care Med 38:1060-8. 2010..To investigate the epidemiology of and possible factors associated with end-of-life decisions in a surgical intensive care unit...
Is the SAPS II score valid in surgical intensive care unit patients?Yasser Sakr
Department of Anaesthesiology and Intensive Care, Friedrich Schiller University Hospital, Jena, Germany
J Eval Clin Pract 18:231-7. 2012....
Neutrophil stimulation with granulocyte colony-stimulating factor worsens ventilator-induced lung injury and mortality in ratsWaheedullah Karzai
Department of Anesthesiology and Critical Care Medicine, Friedrich Schiller University Hospital, Jena, Germany
Anesthesiology 103:996-1005. 2005....
Heparin-induced thrombocytopenia type II in a surgical intensive care unitYasser Sakr
Department of Anesthesiology and Intensive Care, Friedrich Schiller University Hospital, Jena, Germany
J Crit Care 27:232-41. 2012..The aim of this study was to investigate the epidemiology of and outcome from heparin-induced thrombocytopenia type II (HIT) in surgical intensive care unit (ICU) patients...
The late phase of sepsis is characterized by an increased microbiological burden and death rateGordon P Otto
Clinic for Anesthesiology and Intensive Care, Jena University Hospital, Erlanger Allee 101, 07747 Jena, Germany
Crit Care 15:R183. 2011..The aim of this study was to determine the clinical significance of the 'late phase' of sepsis with respect to overall survival and occurrence of microbiological findings...
HES 130/0.4 impairs haemostasis and stimulates pro-inflammatory blood platelet functionMaik Sossdorf
Department of Anaesthesiology and Intensive Care Therapy, Jena University Hospital, D 07740 Jena, Germany
Crit Care 13:R208. 2009..4 has fewer adverse effects than HES 200/0.5 and exerts anti-inflammatory properties, we compared the effects of HES 130/0.4, HES 200/0.5 and saline on in vitro haemostasis and pro-inflammatory platelet function...
Multinational, observational study of procalcitonin in ICU patients with pneumonia requiring mechanical ventilation: a multicenter observational studyFrank Bloos
Department of Anesthesiology and Intensive Care Medicine, Jena University Hospital, Erlanger Allee 101, 07747 Jena, Germany
Crit Care 15:R88. 2011..The intent of this study was to determine whether serum procalcitonin (PCT) levels are associated with prognosis, measured as organ dysfunctions and 28-day mortality, in patients with severe pneumonia...
Obesity is associated with increased morbidity but not mortality in critically ill patientsYasser Sakr
Department of Anaesthesiology and Intensive Care, Friedrich Schiller University Jena, Jena, Germany
Intensive Care Med 34:1999-2009. 2008..To investigate the possible impact of obesity on morbidity and mortality in intensive care unit (ICU) patients included in the European observational sepsis occurrence in acutely ill patients (SOAP) study...
Gene polymorphisms in the heme degradation pathway and outcome of severe human sepsisChristoph Sponholz
Center for Sepsis Control and Care, Jena University Hospital, Jena, Germany
Shock 38:459-65. 2012....
Effect of empirical treatment with moxifloxacin and meropenem vs meropenem on sepsis-related organ dysfunction in patients with severe sepsis: a randomized trialFrank M Brunkhorst
Department of Anesthesiology and Intensive Care Medicine, Friedrich Schiller University, Jena, Germany
JAMA 307:2390-9. 2012..Early appropriate antimicrobial therapy leads to lower mortality rates associated with severe sepsis. The role of empirical combination therapy comprising at least 2 antibiotics of different mechanisms remains controversial...
Are renal adverse effects of hydroxyethyl starches merely a consequence of their incorrect use?Christiane S Hartog
Klinik für Anästhesiologie und Intensivmedizin, Friedrich Schiller Universitat Jena, Jena, Germany
Wien Klin Wochenschr 123:145-55. 2011..These comments imply that renal adverse events in clinical studies are the consequence of an inappropriate use of HES. We therefore searched for evidence whether these suggested measures are beneficial...
Protein C concentrations correlate with organ dysfunction and predict outcome independent of the presence of sepsisFrank Brunkhorst
Department of Anesthesiology and Intensive Care, Friedrich Schiller University, Jena, Germany
Anesthesiology 107:15-23. 2007..The authors investigated the time courses of protein C concentrations and their relation to the presence of sepsis, organ dysfunction/failure, and outcome...
Current practice in nutritional support and its association with mortality in septic patients--results from a national, prospective, multicenter studyGunnar Elke
Department of Anesthesiology and Intensive Care Medicine, University Medical Center Schleswig Holstein, Campus Kiel, Germany
Crit Care Med 36:1762-7. 2008..To identify current clinical practice regarding nutrition and its association with morbidity and mortality in patients with severe sepsis or septic shock in Germany...
Evaluation of a polymerase chain reaction assay for pathogen detection in septic patients under routine condition: an observational studyFrank Bloos
Deptartment of Anesthesiology and Intensive Care Therapy, Jena University Hospital, Germany
PLoS ONE 7:e46003. 2012..This study was undertaken to compare PCR with blood culture results under routine conditions regarding 1. impact on antimicrobial therapy, and 2. time to result, in patients with presumed sepsis...
Intensive insulin therapy and pentastarch resuscitation in severe sepsisFrank M Brunkhorst
Department of Anesthesiology and Intensive Care Medicine, Friedrich Schiller University, Jena, Germany
N Engl J Med 358:125-39. 2008..The role of intensive insulin therapy in patients with severe sepsis is uncertain. Fluid resuscitation improves survival among patients with septic shock, but evidence is lacking to support the choice of either crystalloids or colloids...
The obesity paradox in surgical intensive care unit patientsRobert Hutagalung
Department of Anaesthesiology and Intensive Care, Friedrich Schiller University, Erlanger Allee 103, 07743, Jena, Germany
Intensive Care Med 37:1793-9. 2011..To investigate the possible impact of obesity, as assessed by body mass index (BMI), on outcome in surgical intensive care unit (ICU) patients...
Low and "supranormal" central venous oxygen saturation and markers of tissue hypoxia in cardiac surgery patients: a prospective observational studySuzanne Perz
Department of Anesthesiology and Critical Care Therapy, Jena University Hospital, 07740 Jena, Germany
Intensive Care Med 37:52-9. 2011..To characterize incidence of low, normal and "supranormal" central venous oxygen saturation (ScvO(2)) and the relation to markers of tissue hypoxia, course and outcome in cardiac surgery patients...
Prospective assessment of hepatic function and mechanisms of dysfunction in the critically illAndreas Kortgen
Department of Anaesthesiology and Critical Care Therapy, Friedrich Schiller University, Jena, Germany
Shock 32:358-65. 2009..The observed differential susceptibility of the polar surfaces of human hepatocytes has potential implications for monitoring liver function and drug-induced liver injury...
Venous oximetryGernot Marx
Klinik für Anästhesiologie und Intensivtherapie, Klinikum der Friedrich Schiller Universität, Jena, Germany
Curr Opin Crit Care 12:263-8. 2006..This review discusses recent data on the impact of using venous oximetry by obtaining mixed venous oxygen saturation or central venous oxygen saturation as useful monitoring parameters in critically ill patients...
Isotonic and hypertonic crystalloid solutions in the critically illMichael Bauer
Department of Anesthesiology and Intensive Care Therapy, Friedrich Schiller University, Erlanger Allee, 101, D 07747 Jena, Germany
Best Pract Res Clin Anaesthesiol 23:173-81. 2009....
Open randomized phase II trial of an extracorporeal endotoxin adsorber in suspected Gram-negative sepsisKonrad Reinhart
Department of Anesthesiology and Intensive Care Medicine, Friedrich-Schiller University of Jena, Bachstrasse 18, 07743 Jena, Germany
Crit Care Med 32:1662-8. 2004..There were no clinically important side effects. These results provide encouragement for further study of adsorber treatment in patients with high likelihood of Gram-negative sepsis (e.g., peritonitis)...
Prognostic value of extravascular lung water in critically ill patientsSamir G Sakka
Department of Anesthesiology and Intensive Care Medicine, Friedrich Schiller University of Jena, Bachstrasse 18, D 07740 Jena, Germany
Chest 122:2080-6. 2002..In this study, we analyzed the prognostic value of EVLW in critically ill patients...
The efficacy and safety of colloid resuscitation in the critically illChristiane S Hartog
Department of Anesthesiology and Intensive Care Medicine, Friedrich Schiller University, Jena, Germany
Anesth Analg 112:156-64. 2011..4 are still lacking despite its widespread and increasing use. Because there are safer and equally effective alternatives in the form of crystalloids, use of synthetic colloids should be avoided except in the context of clinical studies...
A systematic review of third-generation hydroxyethyl starch (HES 130/0.4) in resuscitation: safety not adequately addressedChristiane S Hartog
Department of Anesthesiology and Intensive Care Medicine, Jena University Hospital, Friedrich Schiller University, Erlanger Allee 101, D 07747 Jena, Germany
Anesth Analg 112:635-45. 2011..4 resuscitation are sufficiently well designed to draw conclusions about the safety of this compound. In addition, we wanted to assess crystalloid-to-colloid fluid ratios in studies with goal-directed fluid regimen...
Biomarkers in the critically ill patient: procalcitoninKonrad Reinhart
Clinic of Anaesthesiology and Intensive Care Medicine, Friedrich Schiller University Jena, Erlanger Allee 101, 07740 Jena, Germany
Crit Care Clin 27:253-63. 2011..In this review the present use of PCT on the ICU and in critically ill patients is summarized, included it's role for diagnosis of severe sepsis and septic shock and antibiotic stewardship with PCT...
Distinct different contributions of the alternative and classical complement activation pathway for the innate host response during sepsisKatja Dahlke
Department of Anesthesiology and Intensive Care Therapy, Jena University Hospital, Friedrich Schiller University Jena, 07747 Jena, Germany
J Immunol 186:3066-75. 2011..Our results provide evidence for the new concept that the alternative complement activation pathway exerts a distinctly different contribution to the innate host response during sepsis when compared with the classical pathway...
Moderate-dose vasopressin therapy may impair gastric mucosal perfusion in severe sepsis: a pilot studyStefan Klinzing
Department of Anesthesiology and Intensive Care, Friedrich Schiller University, Jena, Germany
Anesthesiology 114:1396-402. 2011..The effects of moderate-dose vasopressin on gastric mucosal perfusion and its relation to global and hepatosplanchnic hemodynamic and oxygen transport variables were investigated in patients with severe sepsis...
Inflammation-associated ADAMTS13 deficiency promotes formation of ultra-large von Willebrand factorClemens L Bockmeyer
Department of Anaesthesiology and Intensive Care Medicine, University Hospital, Friedrich Schiller University, Erlanger Allee 101, D 07747 Jena, Germany
Haematologica 93:137-40. 2008..Our data support the view that systemic inflammation results in an ADAMTS13 deficiency which activates hemostasis...
Characterization of buccal microvascular response in patients with septic shockYasser Sakr
Department of Anaesthesiology and Intensive Care, Friedrich Schiller University Hospital, Jena, Germany
Eur J Anaesthesiol 27:388-94. 2010..The aim of the present study was to characterize the buccal microvascular response in patients with septic shock using combined laser Doppler flowmetry/visual light spectroscopy measurements...
Fluctuations in serum sodium level are associated with an increased risk of death in surgical ICU patientsYasser Sakr
Departments of Anesthesiology and Intensive Care, Friedrich Schiller University Hospital, Jena, Germany
Crit Care Med 41:133-42. 2013....
Attributable costs of patients with candidemia and potential implications of polymerase chain reaction-based pathogen detection on antifungal therapy in patients with sepsisFrank Bloos
Department of Anesthesiology and Intensive Care Medicine, Jena University Hospital, Jena, Germany
J Crit Care 28:2-8. 2013....
Platelet-derived microvesicles induce differential gene expression in monocytic cells: a DNA microarray studyFlorian Setzer
Department of Anaesthesiology and Intensive Care Medicine, University Hospital Jena, Jena, Germany
Platelets 17:571-6. 2006..The data indicate that PMV signal differential expression of inflammation-relevant genes in monocytic cells and may represent a novel link between hemostasis and inflammation...
Influence of hydroxyethyl starch (HES) 130/0.4 on hemostasis as measured by viscoelastic device analysis: a systematic reviewChristiane S Hartog
Department for Anesthesiology and Intensive Care Medicine, Jena University Hospital, Friedrich Schiller University, Jena, Germany
Intensive Care Med 37:1725-37. 2011..Hydroxyethyl starch solutions (HES) are plasma volume expanders which affect hemostasis. Newer HES 130/0.4 is said to be safer. Reevaluation of published evidence is necessary after the recent retraction of studies...
The value of venous oximetryKonrad Reinhart
, , Jena, Germany
Curr Opin Crit Care 11:259-63. 2005..Measurement of central venous oxygen saturation can easily be applied in intensive care unit patients and offers a useful indirect indicator for the adequacy of tissue oxygenation...
Hydroxyethylstarch impairs renal function and induces interstitial proliferation, macrophage infiltration and tubular damage in an isolated renal perfusion modelLars Hüter
Department of Anaesthesiology and Intensive Care Medicine, University of Jena, Erlanger Allee, Jena, Germany
Crit Care 13:R23. 2009..The aim of the study was to evaluate some of the underlying pathomechanisms of hydroxyethylstarch (HES) induced adverse effects on renal function using 24 porcine kidneys in an isolated perfusion model over six hours...
A multicenter trial to compare blood culture with polymerase chain reaction in severe human sepsisFrank Bloos
Department of Anesthesiology and Intensive Care Therapy, University Hospital Jena, Erlanger Allee 101, 07747 Jena, Germany
Intensive Care Med 36:241-7. 2010..To assess the presence of microbial DNA in the blood by polymerase chain reaction (PCR) and its association with disease severity and markers of inflammation in severe sepsis and to compare the performance of PCR with blood culture (BC)...
Platelet and leukocyte activation correlate with the severity of septic organ dysfunctionStefan Russwurm
Department of Anesthesiology and Intensive Care Medicine, Jena, Germany
Shock 17:263-8. 2002....
CONTRA: Hydroxyethyl starch solutions are unsafe in critically ill patientsChristiane Hartog
Department of Anaesthesiology and Intensive Care Medicine, Friedrich Schiller University, Erlanger Allee 101, 07747 Jena, Germany
Intensive Care Med 35:1337-42. 2009..To describe the risk-benefit profile of hydroxyethyl starch (HES)...
Early- versus late-onset shock in European intensive care unitsYasser Sakr
Department of Anesthesiology and Intensive Care, Friedrich Schiller University, Jena, Germany
Shock 28:636-643. 2007..6; 95% confidence interval, 1.6-4.3, P < 0.001). These observations have important implications in establishing individual prognosis as well as in the design and interpretation of clinical trials...
Diagnostic value and prognostic implications of serum procalcitonin after cardiac surgery: a systematic review of the literatureChristoph Sponholz
Department of Anesthesiology and Intensive Care, Friedrich Schiller University, Erlanger Allee 103, 07743 Jena, Germany
Crit Care 10:R145. 2006....
Readmission to a surgical intensive care unit: incidence, outcome and risk factorsAxel Kaben
Department of Anesthesiology and Intensive Care, Friedrich Schiller University Hospital, Erlanger Allee 101, Jena, 07743, Germany
Crit Care 12:R123. 2008..We investigated the incidence of, outcome from and possible risk factors for readmission to the surgical intensive care unit (ICU) at Friedrich Schiller University Hospital, Jena, Germany...
Molecular diagnostics of sepsis--where are we today?Michael Bauer
Klinik für Anästhesiologie und Intensivtherapie, Universitatsklinikum Jena, Erlanger Allee 101, 07743 Jena, Germany
Int J Med Microbiol 300:411-3. 2010..Clinical utility of both, molecular tests to identify the pathogen and the ensuing host response, has still to be evaluated in prospective trials...
High-dose vasopressin is not superior to norepinephrine in septic shockStefan Klinzing
Department of Anesthesiology and Intensive Care Medicine, Freidrich Schiller University, Jena, Germany
Crit Care Med 31:2646-50. 2003..We examined the effects of arginine vasopressin, when substituted for norepinephrine as a vasopressor in septic shock, on global and hepatosplanchnic hemodynamic and oxygen transport variables...
Protection with antibody to tumor necrosis factor differs with similarly lethal Escherichia coli versus Staphylococcus aureus pneumonia in ratsWaheedullah Karzai
Department of Anesthesiology and Intensive Care Medicine, University Hospital, Jena, Germany
Anesthesiology 99:81-9. 2003..Differing factors may alter the effects of antibody to tumor necrosis factor (TNF) in infection and sepsis. The authors tested whether bacteria type or treatment route alters antibody to TNF in a rat model of bacterial pneumonia...
Venous oximetryFrank Bloos
, , Erlanger Allee 101, 07747, Jena, Germany
Intensive Care Med 31:911-3. 2005
Transcription in response to physical stress--clues to the molecular mechanisms of exercise-induced asthmaThomas Hilberg
Department of Sports Medicine Friedrich Schiller University Jena, Germany
FASEB J 19:1492-4. 2005....
Both gram-negative and gram-positive experimental pneumonia induce profound lymphocyte but not respiratory epithelial cell apoptosisTorsten Schreiber
Department of Anesthesiology, Washington University School of Medicine, St Louis, MO, USA
Shock 26:271-6. 2006..Increased lymphocyte but not bronchial cell apoptosis occurs in both gram-positive and gram-negative pneumonia and probably involves both the extrinsic and intrinsic pathway...
Comparison of cardiac output and circulatory blood volumes by transpulmonary thermo-dye dilution and transcutaneous indocyanine green measurement in critically ill patientsSamir G Sakka
Department of Anesthesiology and Intensive Care Medicine, Friedrich Schiller University of Jena, Jena, Germany
Chest 121:559-65. 2002..We prospectively studied the agreement between transpulmonary aortic fiberoptic-based and pulse dye densitometry (PDD) measurements of cardiac output and circulatory blood volumes...
Thyroid hormone response to moderate hypothermia in severe brain injuryWinfried Meissner
Department of Anesthesiology and Intensive Care, Friedrich Schiller University Jena, Bachstrasse 18, 07740 Jena, Germany
Intensive Care Med 29:44-8. 2003..To examine the effect of controlled moderate hypothermia on thyroid response in head-injured patients...
Dysfunction of vasomotor reactivity in severe sepsis and septic shockC Terborg
Department of Neurology, Friedrich Schiller University of Jena, Germany
Intensive Care Med 27:1231-4. 2001..We investigated whether carbon dioxide (CO2)-induced vasomotor reactivity (VMR) is impaired in septic patients, compared with values obtained outside sepsis...
Therapeutic options for the treatment of impaired gut functionA Meier-Hellmann
Department of Anesthesiology and Intensive Care Medicine, Friedrich Schiller University of Jena, Jena, Germany
J Am Soc Nephrol 12:S65-9. 2001..It has been suggested that dopexamine can improve splanchnic perfusion, but because these effects remain somewhat controversial, a general recommendation for dopexamine to improve gut perfusion is not justified...
Lipopolysaccharide induces distinct alterations in the microtubule cytoskeleton of monocytesS Russwurm
University of Jena, Department of Anaesthesiology and Critical Care Medicine, Germany
Cell Biol Toxicol 16:339-46. 2000..Therefore, we conclude, that the microtubule cytoskeleton is an essential intracellular target for sepsis-relevant bacterial components such as lipopolysaccharides...
Catecholamines and splanchnic perfusionA Meier-Hellmann
Department of Anaesthesiology and Intensive Care Medicine, Friedrich Schiller University, Bachstrasse 18, D 07743, Jena
Schweiz Med Wochenschr 130:1942-7. 2000..Until the various catecholamine regimes are more fully examined, recommendations for catecholamine support in sepsis must be considered "conditional"...
[Sepsis therapy: present guidelines and their application]F M Brunkhorst
Klinik für Anästhesiologie und Intensivtherapie, Universitätsklinikum Jena der Friedrich Schiller Universität, Jena, Germany
Chirurg 79:306-14. 2008..Recombinant activated protein C is one choice for certain patients. The German Sepsis Competence Network (SepNet) is currently investigating other open questions...
Effect of plasma and LPS on respiratory burst of neutrophils in septic patientsC Pascual
Department of Anesthesiology and Intensive Care Medicine, Friedrich Schiller University, Jena, Germany
Intensive Care Med 24:1181-6. 1998..To compare the respiratory burst of neutrophils in sepsis and control patients using lipopolysaccharide (LPS), autologous plasma, and a combination of the two...
Glycosylphosphatidylinositol-specific phospholipase D in blood serum: is the liver the only source of the enzyme?H Rhode
Institute of Biochemistry, Medical Faculty, Friedrich Schiller University, Jena, Germany
Clin Chim Acta 281:127-45. 1999..To find possible other sources of plasma GPI-PLD besides the liver, the GPI-degrading activity was measured in different organs of the rat. Product formation was analysed using [125I]TID-labeled GPI-AP...
Late cardiac arrhythmias after blunt chest traumaS G Sakka
Department of Anaesthesiology and Intensive Care Medicine, Friedrich Schiller University of Jena, Germany
Intensive Care Med 26:792-5. 2000..Case reports of two patients who developed fatal cardiac arrhythmias several days after blunt chest trauma...
[Left ventricular aneurysm after myocardial contusion caused by blunt chest trauma]S G Sakka
Klinik für Anästhesiologie und Intensivmedizin, Friedrich Schiller Universitat Jena
Anasthesiol Intensivmed Notfallmed Schmerzther 35:412-6. 2000..Finally, septic shock complicated the case and the patient died 30 days of intensive care from therapy-refractory multiple organ system failure...
[Diagnosis and causal treatment of sepsis]F M Brunkhorst
Paul Martini Forschergruppe für klinische Sepsisforschung, Klinik für Anästhesiologie und Intensivtherapie, Klinikum der Friedrich Schiller Universitat Jena, Erlanger Allee 101, 07743, Jena, Deutschland
Internist (Berl) 50:810-6. 2009..A closer cooperation between microbiologists, infection control specialists and clinical infectious disease consultants may be a key factor to overcome the raising problems in the future...
Atropine test and circulatory arrest in the fossa posterior assessed by transcranial DopplerE Huttemann
Department of Anaesthesiology and Intensive Care Medicine, Friedrich Schiller University Jena, Germany
Intensive Care Med 26:422-5. 2000..e., increase in heart rate of less than 3% after intravenous administration of 3 mg atropine) correctly predicts circulatory arrest in the fossa posterior during craniocaudal herniation in patients with primary supratentorial lesions...
Oral naloxone reverses opioid-associated constipationW Meissner
Clinic of Anaesthesiology and Intensive Care, Friedrich Schiller University Jena, D 07740, Jena, Germany
Pain 84:105-9. 2000..To prevent systemic withdrawal signs, therapy should be started with low doses and patients carefully monitored during titration...
Effect of antioxidants on induction time of luminol luminescence elicited by 3-morpholinosydnonimine (SIN-1)C Pascual
Institute of Biochemistry Friedrich Schiller University, Jena, Germany
Luminescence 14:83-9. 1999..SIN-1 could be useful as a source of oxidant for the characterization of antioxidant behaviour in a system where superoxide and nitric oxide are simultaneously generated...
A piglet model for evaluation of cerebral blood flow and brain oxidative metabolism during gradual cerebral perfusion pressure decreaseR Bauer
Institute for Pathophysiology, Friedrich Schiller University, Jena, Germany
Pediatr Neurosurg 30:62-9. 1999..We conclude that the model simulates the effects of an acute intracranial focal mass expansion and is well suited for the evaluation of different therapeutical strategies for increased ICP in newborns and infants...
[Supportive and adjunctive sepsis therapy]F M Brunkhorst
Paul Martini FG Klinische Sepsisforschung, Klinik für Anästhesiologie und Intensivtherapie, Klinikum der Friedrich Schiller Universitat Jena, Erlanger Allee 101, 07743, Jena, Deutschland
Internist (Berl) 50:817-24, 826-7. 2009..The German Competence Network Sepsis (SepNet) is currently studying further relevant questions...
[Quality management in postoperative pain therapy]W Meissner
Klinik für Anästhesiologie und Intensivtherapie, Friedrich Schiller Universitat Jena, Bachstrasse 18, 07743 Jena
Anaesthesist 50:661-70. 2001..This study reports the implementation of a quality management program to improve postoperative pain management at a university hospital...
The use and safety of transoesophageal echocardiography in the general ICU -- a minireviewE Huttemann
Department of Anaesthesiology and Intensive Care Medicine, University Hospital, Friedrich Schiller University Jena, Jena, Germany
Acta Anaesthesiol Scand 48:827-36. 2004..The efficacy of transoesophageal echocardiography (TEE) has been evaluated predominantly in medical and cardiac surgical ICUs. This article reviews the pertinent literature and evaluates the impact of TEE in a general surgical ICU...
Left ventricular regional wall motion abnormalities during pneumoperitoneum in childrenE Huettemann
Department of Anaesthesiology and Intensive Care Medicine, Friedrich Schiller University Jena, Bachstrasse 18, D 07740 Jena, Germany
Br J Anaesth 90:733-6. 2003..Since any increase in intra-abdominal pressure (IAP) exerted by a pneumoperitoneum is transmitted to the intrathoracic cavity, similar effects on LV regional wall motion cannot be ruled out...
[Sepsis. Update on pathophysiology, diagnostics and therapy]M Bauer
Klinik für Anästhesiologie und Intensivtherapie, Klinikum der Friedrich Schiller Universität, Erlanger Allee 101, 07740 Jena
Anaesthesist 55:835-45. 2006..e. a reduction of mortality by 25% within the next 5 years...
Left ventricular dysfunction in lethal severe brain injury: impact of transesophageal echocardiography on patient managementE Huttemann
Department of Anesthesiology and Intensive Care Medicine, Friedrich Schiller University, Bachstrasse 18, 07740 Jena, Germany
Intensive Care Med 28:1084-8. 2002..To evaluate the impact of transesophageal echocardiographic (TEE) studies on further patient management and incidence and degree of left ventricular (LV) dysfunction in patients with lethal severe brain injury...
[Diagnosis and therapy of sepsis: guidelines of the German Sepsis Society Inc. and the German Interdisciplinary Society for Intensive and Emergency Medicine]K Reinhart
Deutsche Sepsis-Gesellschaft e V c/o Universitatsklinikum Jena, Erlanger Allee 101, 07747 Jena
Anaesthesist 55:43-56. 2006..The guidelines development process was carefully planned and strictly adhered to the requirements of the Working Group of Scientific Medical Societies (AWMF)...
[Intensive insulin therapy in critically ill patients--contra]Gernot Marx
,
Dtsch Med Wochenschr 131:2481. 2006
[Prevention and follow-up care of sepsis. 1st revision of S2k guidelines of the German Sepsis Society (Deutsche Sepsis-Gesellschaft e.V., DSG) and the German Interdisciplinary Association of Intensive Care and Emergency Medicine (Deutsche InterdisziplinärF M Brunkhorst
Klinik für Anästhesiologie und Intensivtherapie, Universitätsklinikum Jena der Friedrich Schiller Universität Jena, Erlanger Allee 101, Jena, Germany
Internist (Berl) 51:925-32. 2010....
[New approaches to intensive care for sepsis]G Marx
Klinik für Anästhesiologie und Intensivtherapie, Klinikum der Friedrich Schiller Universitat Jena
Chirurg 76:845-55. 2005....
[Transesophageal echocardiography and intraoperative management of patients with renal cell carcinoma and rena cava extension]E Huttemann
Klinik für Anästhesiologie und Intensivtherapie, Universitatskliniken, Friedrich Schiller Universitat Jena
Anaesthesist 51:116-9. 2002..To evaluate the role of intraoperative real-time transesophageal echocardiography (TEE) for the anesthetic and surgical management of patients with renal cell carcinoma and vena cava extension...
Urosepsis: from the intensive care viewpointG Marx
Klinik für Anästhesiologie und Intensivtherapie, Klinikum der Friedrich Schiller Universität, Erlanger Allee 101, Jena, Germany
Int J Antimicrob Agents 31:S79-84. 2008..Time to initiation of therapy is crucial for surviving sepsis. Implementing new medical evidence in this context into daily clinical intensive care remains a major hurdle...
Mass spectometry-based protein patterns in the diagnosis of sepsis/systemic inflammatory response syndromeMichael Kiehntopf
Institute of Clinical Chemistry and Laboratory Medicine, Jena University Hospital, Friedrich Schiller University Jena, Germany
Shock 36:560-9. 2011..Identification of discriminatory proteins suggests a direct link between infectious-related protease activity and a sepsis-specific diagnostic pattern for discrimination of patients with SIRS...
Amino acid imbalance early in septic encephalopathyThomas Basler
, University Hospital, Bachstrasse 18, 07743 Jena, Germany
Intensive Care Med 28:293-8. 2002..The present data suggest a possible role of amino acids in the pathogenesis of septic encephalopathy...
The PIRO concept: R is for responseHerwig Gerlach
Department of Anaesthesiology and Intensive Care Medicine, Vivantes-Klinikum Neukoelln, Germany
Crit Care 7:256-9. 2003
Markers of endothelial damage in organ dysfunction and sepsisKonrad Reinhart
Department of Anesthesiology and Intensive Care Medicine, Friedrich Schiller University, Jena, Germany
Crit Care Med 30:S302-12. 2002..In addition, it is evident that markers of endothelial activation and coagulation parameters lack specificity for infection-induced endothelial damage and organ dysfunction...
Prognostic value of the indocyanine green plasma disappearance rate in critically ill patientsSamir G Sakka
Department of Anesthesiology and Intensive Care Medicine, Friedrich Schiller University of Jena, Jena, Germany
Chest 122:1715-20. 2002..In this study, we analyzed the prognostic value of the ICG-PDR in critically ill patients...
Variability of splanchnic blood flow in patients with sepsisS G Sakka
Department of Anesthesiology and Intensive Care Medicine, Friedrich Schiller University of Jena, Bachstrasse 18, 07740 Jena, Germany
Intensive Care Med 27:1281-7. 2001..1%) as well as for average values at 2-h intervals (25.6%). CONCLUSION: Stable global hemodynamics during a 4-h period in septic patients does not exclude marked changes in splanchnic blood measured by a hepatic venous catheter technique...
