Díaz-Cremades JM, Lorenzo R, Sánchez M, Moreno MJ, Alsar MJ, Bosch JM, Fajardo L, González D, Guerrero D. Use of antithrombin III in critical patients.
Intensive Care Med 1994;
20:577-80. [PMID:
7706571 DOI:
10.1007/bf01705725]
[Citation(s) in RCA: 25] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
OBJECTIVE
To evaluate the effect of the AT III concentrates upon the clinical evolution and hemostatic parameters.
DESIGN
Prospective, open, randomized trial.
PATIENTS AND PARTICIPANTS
Septic and multiple trauma patients admitted to our Intensive Care Unit.
SETTING
Levels of AT III below 70% were used as criteria to choose 36 patients, 20 of whom received treatment with AT III and 16 did not.
INTERVENTIONS
AT III concentrates were administered at an initial dose of 60 U/kg followed by 10 U/kg every six hours.
RESULTS
The administration of AT III neither contributes to alterations in haemostasis, nor the clinical evolution (evaluated according to Apache II score).
CONCLUSIONS
The results suggest that the administration of AT III concentrates to critical patients with acquired low levels, but without manifest DIC, may not be justified; although further studies on a larger population are required to establish definite conclusions.
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