Analysis of Efficacy of Ascorbic Acid, Hydrocortisone and Thiamine as a Part Adjuvant Therapy of Sepsis and Septic Shock

The objective: to analyze efficacy of ascorbic acid or its combination with glucocorticoids and thiamine on clinical outcomes in patients with sepsis and septic shock.Subjects and Methods. The literature search was carried out in the database of MEDLINE, Embase, and the Cochrane Library systems. It...

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Main Authors: L. L. Plotkin, V. A. Artamonov
Format: Article
Language:Russian
Published: New Terra Publishing House 2022-10-01
Series:Вестник анестезиологии и реаниматологии
Subjects:
Online Access:https://www.vair-journal.com/jour/article/view/722
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author L. L. Plotkin
V. A. Artamonov
author_facet L. L. Plotkin
V. A. Artamonov
author_sort L. L. Plotkin
collection DOAJ
description The objective: to analyze efficacy of ascorbic acid or its combination with glucocorticoids and thiamine on clinical outcomes in patients with sepsis and septic shock.Subjects and Methods. The literature search was carried out in the database of MEDLINE, Embase, and the Cochrane Library systems. It is limited to published articles from January 1, 2008 to March 1, 2022. The selection criteria were observational studies in patients over 18 years of age with septic shock, if they provide data on the use of ascorbic acid in the form of monotherapy or in combination with hydrocortisone and thiamine.Conclusion. The review includes 18 publications, including 3 meta-analyses on the use of ascorbic acid or its combination with hydrocortisone and thiamine in patients in the adjuvant therapy program for sepsis and septic shock. Clinical efficacy has been proven in 11 studies. However, 7 publications did not show global changes in the outcomes of sepsis and septic shock therapy compared to basic therapy. Currently, there is a need for further research.
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spelling doaj.art-5b94f0da29cd41eb96566461fb1efd4e2023-09-03T13:02:13ZrusNew Terra Publishing HouseВестник анестезиологии и реаниматологии2078-56582541-86532022-10-0119510211010.21292/2078-5658-2022-19-5-102-110556Analysis of Efficacy of Ascorbic Acid, Hydrocortisone and Thiamine as a Part Adjuvant Therapy of Sepsis and Septic ShockL. L. Plotkin0V. A. Artamonov1Южно-Уральский государственный медицинский университет; Челябинская областная клиническая больницаЧелябинская областная клиническая больницаThe objective: to analyze efficacy of ascorbic acid or its combination with glucocorticoids and thiamine on clinical outcomes in patients with sepsis and septic shock.Subjects and Methods. The literature search was carried out in the database of MEDLINE, Embase, and the Cochrane Library systems. It is limited to published articles from January 1, 2008 to March 1, 2022. The selection criteria were observational studies in patients over 18 years of age with septic shock, if they provide data on the use of ascorbic acid in the form of monotherapy or in combination with hydrocortisone and thiamine.Conclusion. The review includes 18 publications, including 3 meta-analyses on the use of ascorbic acid or its combination with hydrocortisone and thiamine in patients in the adjuvant therapy program for sepsis and septic shock. Clinical efficacy has been proven in 11 studies. However, 7 publications did not show global changes in the outcomes of sepsis and septic shock therapy compared to basic therapy. Currently, there is a need for further research.https://www.vair-journal.com/jour/article/view/722сепсиссептический шокаскорбиновая кислотаглюкокортикоидытиамин
spellingShingle L. L. Plotkin
V. A. Artamonov
Analysis of Efficacy of Ascorbic Acid, Hydrocortisone and Thiamine as a Part Adjuvant Therapy of Sepsis and Septic Shock
Вестник анестезиологии и реаниматологии
сепсис
септический шок
аскорбиновая кислота
глюкокортикоиды
тиамин
title Analysis of Efficacy of Ascorbic Acid, Hydrocortisone and Thiamine as a Part Adjuvant Therapy of Sepsis and Septic Shock
title_full Analysis of Efficacy of Ascorbic Acid, Hydrocortisone and Thiamine as a Part Adjuvant Therapy of Sepsis and Septic Shock
title_fullStr Analysis of Efficacy of Ascorbic Acid, Hydrocortisone and Thiamine as a Part Adjuvant Therapy of Sepsis and Septic Shock
title_full_unstemmed Analysis of Efficacy of Ascorbic Acid, Hydrocortisone and Thiamine as a Part Adjuvant Therapy of Sepsis and Septic Shock
title_short Analysis of Efficacy of Ascorbic Acid, Hydrocortisone and Thiamine as a Part Adjuvant Therapy of Sepsis and Septic Shock
title_sort analysis of efficacy of ascorbic acid hydrocortisone and thiamine as a part adjuvant therapy of sepsis and septic shock
topic сепсис
септический шок
аскорбиновая кислота
глюкокортикоиды
тиамин
url https://www.vair-journal.com/jour/article/view/722
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