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Expert Opin Drug Saf · Jan 2006
ReviewCoagulopathy and the role of recombinant human activated protein C in sepsis and following polytrauma.
- Ziad Dahabreh, Rozalia Dimitriou, Byron Chalidis, and Peter V Giannoudis.
- St James's University Hospital, Beckett Street, Leeds, LS9 7TF, UK.
- Expert Opin Drug Saf. 2006 Jan 1;5(1):67-82.
AbstractRecombinant human activated protein C (rhAPC) also known as drotrecogin alfa (activated) has known antithrombotic, anti-inflammatory, and profibrinolytic properties in severe sepsis. Treatment with rhAPC (Xigris) has been shown to reduce mortality in patients with severe sepsis. The lack of any trials of rhAPC in trauma patients means that a definitive recommendation regarding its use in the polytraumatised patient, in whom severe head trauma or other contraindications for the use of rhAPC have been excluded remains controversial at present. This article describes the current evidence of its efficacy and safety in severe sepsis with relation to surgery and trauma.
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