Abstract
Abstract
Background
Sepsis is a common fatal complication of an infection. As part of the host response, sympathetic stimulation can result in many serious complications such as septic myocardial depression and metabolic, hematological, and immunological dysfunction. Treatment with beta blockers may reduce this pathophysiological response to infection, but the clinical outcomes are not clear.
Results
Our study showed a significant difference as regards decrease in heart rate in group B with P value < 0.001 compared to group A, besides a reduction in 28-day mortality (P value 0.0385) and ICU stay (P value < 0.001) in group B compared to group A.
Conclusion
This study supports the role of intravenous beta blockers in sepsis patients by decreasing heart rate without affecting the hemodynamics, in addition to decreasing 28-day mortality and ICU stay.
Publisher
Springer Science and Business Media LLC
Reference18 articles.
1. Al Harbi SA, Al Sulaiman KA, Tamim H, Al-Dorzi HM, Sadat M, Arabi Y (2018) Association between β-blocker use and mortality in critically ill patients: a nested cohort study. BMC Pharmacol Toxicol 19(1):22
2. Balik M, Rulisek J, Leden P, Zakharchenko M, Otahal M, Bartakova H, Korinek J (2012) Concomitant use of beta-1 adrenoreceptor blocker and norepinephrine in patients with septic shock. Wien Klin Wochenschr 124(15-16):552–556
3. Cohen MJ, Shankar R, Stevenson J, Fernandez R, Gamelli RL, Jones SB. Bone marrow norepinephrine mediates development of functionally different macrophages after thermal injury and sepsis. Annals of Surgery. 2004;240(1):132–141.
https://doi.org/10.1097/01.sla.0000130724.84914.d6
.
4. Du W, Wang XT, Long Y, Liu DW (2016) Efficacy and safety of esmolol in treatment of patients with septic shock. Chin Med J 129(14):1658–1665
5. Elenkov IJ, Wilder RL, Chrousos GP, Vizi ES (2000) The sympathetic nerve--an integrative interface between two supersystems: the brain and the immune system. Pharmacol Rev 52(4):595–638
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