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[N-acetylcysteine in septic shock].

Identifieur interne : 000139 ( Main/Exploration ); précédent : 000138; suivant : 000140

[N-acetylcysteine in septic shock].

Auteurs : Omar Ellouze [Tunisie] ; Nabil Frikha ; Sonia Ouerghi ; Taher Mestiri ; Mohamed Salah Ben Ammar

Source :

RBID : pubmed:22076894

Descripteurs français

English descriptors

Abstract

AIM

To focus on the various studies evaluating the effects of Nacetylcysteine in septic shock

METHODS

Main references obtained from the medical database Medline using the keywords: N-acetylcysteine; septic shock, free radicals.

RESULTS

Septic shock remains the leading cause of mortality in intensive care units. The progressive knowledge of the pathophysiology of septic shock, underline the production of free radicals and their cellular and microcirculatory effects. The Nacetylcysteine used mainly in paracetamol poisoning, has properties to control free radicals. The explosion of free radicals in septic shock has led to multiple studies assessing the role of N-acetylcysteine as an anti radical, and for its anti inflammatory action.

CONCLUSION

NAC seems to play an important role in septic shock to control free radicals and the inflammatory response. But these results remain contradictory. Some larger and more standardized studies should allow to evaluate the actual effects of NAC in septic shock.


PubMed: 22076894


Affiliations:


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Le document en format XML

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<nlm:affiliation>Universite Tunis, El Manar, Tunisie.</nlm:affiliation>
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<name sortKey="Frikha, Nabil" sort="Frikha, Nabil" uniqKey="Frikha N" first="Nabil" last="Frikha">Nabil Frikha</name>
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<name sortKey="Ouerghi, Sonia" sort="Ouerghi, Sonia" uniqKey="Ouerghi S" first="Sonia" last="Ouerghi">Sonia Ouerghi</name>
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<name sortKey="Mestiri, Taher" sort="Mestiri, Taher" uniqKey="Mestiri T" first="Taher" last="Mestiri">Taher Mestiri</name>
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<name sortKey="Salah Ben Ammar, Mohamed" sort="Salah Ben Ammar, Mohamed" uniqKey="Salah Ben Ammar M" first="Mohamed" last="Salah Ben Ammar">Mohamed Salah Ben Ammar</name>
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<name sortKey="Ouerghi, Sonia" sort="Ouerghi, Sonia" uniqKey="Ouerghi S" first="Sonia" last="Ouerghi">Sonia Ouerghi</name>
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<name sortKey="Salah Ben Ammar, Mohamed" sort="Salah Ben Ammar, Mohamed" uniqKey="Salah Ben Ammar M" first="Mohamed" last="Salah Ben Ammar">Mohamed Salah Ben Ammar</name>
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<title level="j">La Tunisie medicale</title>
<idno type="ISSN">0041-4131</idno>
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<term>Acetylcysteine (pharmacology)</term>
<term>Acetylcysteine (therapeutic use)</term>
<term>Free Radical Scavengers (pharmacology)</term>
<term>Free Radical Scavengers (therapeutic use)</term>
<term>Humans (MeSH)</term>
<term>Shock, Septic (drug therapy)</term>
<term>Shock, Septic (physiopathology)</term>
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<keywords scheme="KwdFr" xml:lang="fr">
<term>Acétylcystéine (pharmacologie)</term>
<term>Acétylcystéine (usage thérapeutique)</term>
<term>Choc septique (physiopathologie)</term>
<term>Choc septique (traitement médicamenteux)</term>
<term>Humains (MeSH)</term>
<term>Piégeurs de radicaux libres (pharmacologie)</term>
<term>Piégeurs de radicaux libres (usage thérapeutique)</term>
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<term>Acetylcysteine</term>
<term>Free Radical Scavengers</term>
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<term>Acetylcysteine</term>
<term>Free Radical Scavengers</term>
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<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en">
<term>Shock, Septic</term>
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<term>Acétylcystéine</term>
<term>Piégeurs de radicaux libres</term>
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<term>Choc septique</term>
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<term>Shock, Septic</term>
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<term>Choc septique</term>
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<term>Piégeurs de radicaux libres</term>
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<div type="abstract" xml:lang="en">
<p>
<b>AIM</b>
</p>
<p>To focus on the various studies evaluating the effects of Nacetylcysteine in septic shock</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>Main references obtained from the medical database Medline using the keywords: N-acetylcysteine; septic shock, free radicals.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>Septic shock remains the leading cause of mortality in intensive care units. The progressive knowledge of the pathophysiology of septic shock, underline the production of free radicals and their cellular and microcirculatory effects. The Nacetylcysteine used mainly in paracetamol poisoning, has properties to control free radicals. The explosion of free radicals in septic shock has led to multiple studies assessing the role of N-acetylcysteine as an anti radical, and for its anti inflammatory action.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSION</b>
</p>
<p>NAC seems to play an important role in septic shock to control free radicals and the inflammatory response. But these results remain contradictory. Some larger and more standardized studies should allow to evaluate the actual effects of NAC in septic shock.</p>
</div>
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<name sortKey="Ouerghi, Sonia" sort="Ouerghi, Sonia" uniqKey="Ouerghi S" first="Sonia" last="Ouerghi">Sonia Ouerghi</name>
<name sortKey="Salah Ben Ammar, Mohamed" sort="Salah Ben Ammar, Mohamed" uniqKey="Salah Ben Ammar M" first="Mohamed" last="Salah Ben Ammar">Mohamed Salah Ben Ammar</name>
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<name sortKey="Ellouze, Omar" sort="Ellouze, Omar" uniqKey="Ellouze O" first="Omar" last="Ellouze">Omar Ellouze</name>
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