Feasibility and safety of combined cytokine adsorption and continuous veno-venous hemodialysis with regional citrate anticoagulation in patients with septic shock.
DISCUSSION: We show that combined cytokine adsorption/continuous veno-venous hemodialysis is effective to control pH, to reduce urea and creatinine, and to improve hemodynamics by reducing norepinephrine doses in patients with septic shock. It can be applied safely with standard settings of regional citrate anticoagulation rendering sufficiently long filter lifetimes for the adsorber and the continuous veno-venous hemodialysis circuit. Further studies are on the way to investigate whether these effects translate into improved outcomes in septic shock patients. PMID: 31379256 [PubMed - as supplied by publisher]
This study was performed to investigate the association between serum total carbon dioxide (TCO2) concentration and 28-day mortality in patients with sepsis.
Sepsis is a significant cause of mortality, and improving survival has gained a lot of attention over the last 2 decades as a measure for quality improvement. Mortality rates from sepsis as high as 49.7% were the stimulus for Rivers et al to develop early goal-directed therapy in 2001, resulting in significantly lower mortality rates (30.5%). In 2002, the Surviving Sepsis Campaign, an international effort led by intensivists, began promoting early recognition and treatment of sepsis. This campaign ultimately led to the adoption of Early Management Bundle for Severe Sepsis/Septic Shock (SEP-1) by the US Centers for Medicare...
Publication date: Available online 2 April 2020Source: Urology Case ReportsAuthor(s): Wubin Tan, Tieqiu Li, Ke Yang, Zheng Mao, Jiahui Li
CONCLUSIONS: Thiol/disulphide homeostasis is impaired in patients with sepsis and septic shock. Understanding the role of thiol/disulphide homeostasis in sepsis and septic shock may provide different therapuetic intervention strategies for patients. PMID: 32233178 [PubMed - as supplied by publisher]
Publication date: Available online 1 April 2020Source: International Journal of Surgery Case ReportsAuthor(s): Victoria Lu, Harsh Kanhere
This study aimed to evaluate the association between hemodynamic and skin perfusion parameters and enteral nutrition therapy (NT) outcomes in septic shock patients.
Conclusion: We provided “cell-block” method, which collects cell components from large amount of CSF for cytology and immunohistochemical analysis. “Cell-block” cytology can be an alternative diagnostic method in diagnosis of PCNSL.
A psoas abscess is a rare but potentially devastating condition that is associated with risks of neurological deficits, septic shock, and even death. The current first-line treatment is percutaneous catheter drainage (PCD) under imaging guidance, combined with broad-spectrum antibiotics. Surgical drainage should be considered if PCD fails or is impossible. Although many studies on PCD and open surgical drainage have appeared, the outcomes of laparoscopic drainage have rarely been reported. Thus, we laparoscopically drained the psoas abscesses of 6 patients; drainage was complete and we encountered no recurrence or complic...
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