Schläpfer M, Beck-Schimmer B. Volatile sedation in sepsis: a promising therapeutic approach or a venture doomed to fail?
BJA OPEN 2022;
3:100021. [PMID:
37588579 PMCID:
PMC10430852 DOI:
10.1016/j.bjao.2022.100021]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/30/2022] [Accepted: 06/10/2022] [Indexed: 08/18/2023]
Abstract
Preclinical strategies targeting sepsis often had a single target and could not be translated into the clinical setting. Volatile sedation modulates multiple aspects of inflammation and improves sepsis-related survival in animal models. Whether a similar effect can be achieved in humans is unclear. Only a prospective clinical trial will be able to answer this question. The implementation of such a study in times when volatile anaesthetics are the focus of attention because of their greenhouse effect and their carbon dioxide emission will be a challenge, even though the alternative, i.v. sedation, is still insufficiently investigated in this respect.
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