Modern approaches to the therapy of septic shock

Chaim Putterman

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


Bacteremia from gram-negative rods is a great cause of concern for hospital physicians today. Shock-complicating gram-negative sepsis has a mortality rate of 60% and above, despite early diagnosis and treatment. Intensive research efforts have shown new pathophysiological mechanisms and mediators involved in septic shock, with changes in recommented treatment protocols. In this report, the authors review the use of corticosteroids, fibronectin, naloxone hydrochloride, and immunotherapy, with emphasis on theoretical considerations and relevant clinical experience. Although these treatment methods may have been promising initially, data from large double-blind human trials are either lacking or unencouraging. While continued research and modern therapeutic approaches should improve future survival rates from septic shock, use of the therapies reviewed should be considered experimental at this time.

Original languageEnglish (US)
Pages (from-to)152-161
Number of pages10
JournalAmerican Journal of Emergency Medicine
Issue number2
StatePublished - Mar 1990
Externally publishedYes


  • Sepsis
  • corticosteroids
  • endotoxin
  • fibronectin
  • immunotherapy
  • naloxone
  • septic shock
  • therapy

ASJC Scopus subject areas

  • Emergency Medicine


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