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COVID-19, shock séptico refractario y terapia extracorpórea de purificación sanguínea con OXIRIS® / Management of refractory septic shock with blood purification therapy using a special filter: report of one case
Ramírez-Guerrero, Gonzalo; Baghetti-Hernández, Romyna; Godoy-Tello, Cristian; Villagrán-Cortés, Francisco; Torres-Cifuentes, Vicente; Garay-Coloma, Osvaldo.
Afiliação
  • Ramírez-Guerrero, Gonzalo; Hospital Carlos Van Buren. Unidad de Cuidados Críticos. Valparaíso. CL
  • Baghetti-Hernández, Romyna; Hospital Carlos Van Buren. Unidad de Cuidados Críticos. Valparaíso. CL
  • Godoy-Tello, Cristian; Hospital Carlos Van Buren. Unidad de Cuidados Críticos. Valparaíso. CL
  • Villagrán-Cortés, Francisco; Hospital Carlos Van Buren. Unidad de Cuidados Críticos. Valparaíso. CL
  • Torres-Cifuentes, Vicente; Hospital Carlos Van Buren. Unidad de Cuidados Críticos. Valparaíso. CL
  • Garay-Coloma, Osvaldo; Hospital Carlos Van Buren. Unidad de Cuidados Críticos. Valparaíso. CL
Rev. méd. Chile ; 150(2): 266-270, feb. 2022. ilus, tab
Article em Es | LILACS | ID: biblio-1389636
Biblioteca responsável: CL1.1
ABSTRACT
Sepsis is one of the leading causes of death in critically ill patients with COVID-19 and blood purification therapies have a role to immunomodulate the excessive inflammatory response and improve clinical results. One of the devices designed for these therapies is the oXiris® filter, allowing to perform renal replacement therapy combined with selective adsorption of endotoxins and cytokines. We report a 55-year-old male with COVID who developed a septic shock secondary to a sepsis caused by Pseudomona aeruginosa, refractory to the usual management. A veno-venous continuous hemofiltration was started using the oXiris® filter for 48 hours. Subsequently, there was an improvement in clinical perfusion parameters and a reduction in inflammatory markers. The patient was discharged from the intensive care one month later.
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Texto completo: 1 Índice: LILACS Assunto principal: Choque Séptico / Sepse / COVID-19 Limite: Humans / Male Idioma: Es Revista: Rev. méd. Chile Assunto da revista: MEDICINA Ano de publicação: 2022 Tipo de documento: Article

Texto completo: 1 Índice: LILACS Assunto principal: Choque Séptico / Sepse / COVID-19 Limite: Humans / Male Idioma: Es Revista: Rev. méd. Chile Assunto da revista: MEDICINA Ano de publicação: 2022 Tipo de documento: Article