Adsorción extracorpórea de citoquinas en el tratamiento del shock séptico refractario. Casos clínicos

Autores/as

  • Mario Rathkamp Hospital de urgencias asistencia pública (HUAP)
  • Vinko Tomicic Hospital de Urgencias Asistencia Pública (HUAP)
  • Juán Cornejo Hospital de urgencias asistencia pública (HUAP)
  • Pablo Cruz Hospital de urgencias asistencia pública (HUAP)

Palabras clave:

Catecholamines, Cytokines, Hemadsorption, Shock, Septic

Resumen

If Septic shock (SS) evolves to refractory SS, mortality could reach 90%, despite giving an optimal treatment. Nowadays, extracorporeal devices which adsorb inflammatory cytokines are available, reducing the systemic inflammatory response syndrome. These devices can be used with continuous renal replacement therapy or conventional hemodialysis. We report two diabetic females aged 50 and 58 years, who underwent a total colectomy and amputation of diabetic foot and who developed a SS with high requirements of vasoactive drugs (norepinephrine and adrenaline) to maintain a mean arterial pressure of about 60 mmHg. Both were subjected to hemodialysis, connected to a cytokine hemadsorption device. The most important finding was the progressive reduction of vasopressor doses, effect that was observed nine hours after the beginning of the hemadsorption and lasted until its removal at 26 hours. Both patients survived.

Biografía del autor/a

Mario Rathkamp, Hospital de urgencias asistencia pública (HUAP)

Jefe Unidad de Cuidados Intensivos HUAP

Vinko Tomicic, Hospital de Urgencias Asistencia Pública (HUAP)

jefe Técnico Unidad de cuidados intensivos HUAP. Universidad Nacional Andrés Bello (UNAB)

Juán Cornejo, Hospital de urgencias asistencia pública (HUAP)

médico residente HUAP

Pablo Cruz, Hospital de urgencias asistencia pública (HUAP)

Enfermero Universitario. Hospital de Urgencias Asistencia Pública
cytokines hemoadsorption

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Publicado

2018-06-22

Cómo citar

Rathkamp, M., Tomicic, V., Cornejo, J., & Cruz, P. (2018). Adsorción extracorpórea de citoquinas en el tratamiento del shock séptico refractario. Casos clínicos. Revista Médica De Chile, 146(6). Recuperado a partir de https://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/view/6744

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Casos clínicos