CytoSorb® hemoadsorption and mechanical circulatory support in a newborn with refractory shock after congenital heart surgery.
Int J Artif Organs
; 42(9): 521-524, 2019 Sep.
Article
em En
| MEDLINE
| ID: mdl-30968739
ABSTRACT
Refractory cardiogenic and vasoplegic shock after congenital heart surgery is a threatening condition leading to high morbidity and mortality. Control of hemodynamic and inflammatory response is fundamental in medical strategy. We report the case of a newborn with cardiogenic and vasoplegic shock secondary to cardiopulmonary bypass for atrioseptostomy and prostaglandin treatment in the context of hypoplastic left heart syndrome, successfully treated with a combination of mechanical circulatory support and cytokine hemoadsorption column (CytoSorb®). Vasopressor support was weaned during the time of treatment without multiple organ failure occurrence. The use of CytoSorb® cartridge inserted in an extra-corporeal circuit even in a newborn is easy and feasible, as long as some precautions are considered. Routine monitoring of drugs levels is mandatory during the use of the cartridge and immediately after.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Contexto em Saúde:
2_ODS3
/
6_ODS3_enfermedades_notrasmisibles
/
7_ODS3_muertes_prevenibles_nacidos_ninos
Base de dados:
MEDLINE
Assunto principal:
Choque Cardiogênico
/
Ponte Cardiopulmonar
/
Oxigenação por Membrana Extracorpórea
/
Desintoxicação por Sorção
/
Cardiopatias Congênitas
Tipo de estudo:
Etiology_studies
Limite:
Humans
/
Male
/
Newborn
Idioma:
En
Revista:
Int J Artif Organs
Ano de publicação:
2019
Tipo de documento:
Article