Refractory Septic Shock Treated with Nephrectomy under the Support of Extracorporeal Membrane Oxygenation / 대한중환자의학회지
Korean Journal of Critical Care Medicine
;
: 176-179, 2015.
Article
in English
| WPRIM
| ID: wpr-96080
ABSTRACT
Conventional medical therapies have not been very successful in treating adults with refractory septic shock. The effects of direct hemoperfusion using polymyxin B and veno-arterial extracorporeal membrane oxygenation (ECMO) for refractory septic shock remain uncertain. A 66-year-old man was admitted to the emergency department and suffered from sepsis-induced hemodynamic collapse. For hemodynamic improvement, we performed direct hemoperfusion using polymyxin B. Computed tomography scan of this patient revealed emphysematous pyelonephritis (EPN), for which he underwent emergent nephrectomy with veno-arterial ECMO support. To the best of our knowledge, this is the first report of successful treatment of EPN with refractory septic shock using polymyxin B hemoperfusion and nephrectomy under the support of ECMO.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Polymyxin B
/
Pyelonephritis
/
Shock, Septic
/
Extracorporeal Membrane Oxygenation
/
Hemoperfusion
/
Emergency Service, Hospital
/
Endotoxins
/
Hemodynamics
/
Nephrectomy
Limits:
Adult
/
Aged
/
Humans
Language:
English
Journal:
Korean Journal of Critical Care Medicine
Year:
2015
Type:
Article
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