COVID-19, shock séptico refractario y terapia extracorpórea de purificación sanguínea con OXIRIS®



Título del documento: COVID-19, shock séptico refractario y terapia extracorpórea de purificación sanguínea con OXIRIS®
Revista: Revista médica de Chile
Base de datos: PERIÓDICA
Número de sistema: 000448924
ISSN: 0034-9887
Autores: 1
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Instituciones: 1Hospital Carlos Van Buren, Unidad de Cuidados Críticos, Valparaíso. Chile
Año:
Volumen: 150
Número: 2
Paginación: 266-270
País: Chile
Idioma: Español
Tipo de documento: Artículo
Enfoque: Caso clínico
Resumen en inglés 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
Disciplinas: Medicina
Palabras clave: Virus,
Terapéutica y rehabilitación,
COVID-19,
Choque séptico,
Terapia de reemplazo renal continuo,
Síndrome de liberación de citocinas
Keyword: Virus,
Therapeutics and rehabilitation,
COVID-19,
Septic shock,
Continuous renal replacement therapy,
Cytokines release syndrome
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