Impact of CytoSorb Hemoadsorption Therapy on Fluid Balance in Patients with Septic Shock.

CytoSorb endothelial integrity fluid balance hemoadsorption inflammation septic shock vascular barrier function vasopressors

Journal

Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588

Informations de publication

Date de publication:
04 Jan 2024
Historique:
received: 30 11 2023
revised: 20 12 2023
accepted: 29 12 2023
medline: 11 1 2024
pubmed: 11 1 2024
entrez: 11 1 2024
Statut: epublish

Résumé

Recent in vitro studies have investigated the effects of hemoadsorption therapy on endothelial function in sepsis showing a reduction in markers of endothelial dysfunction, but, to this day, there are no clinical studies proving whether this approach could actually positively influence the disturbed vascular barrier function in septic conditions. We retrospectively analyzed data on administered fluid volumes and catecholamines in 124 septic shock patients. We collected catecholamine and volume requirements and calculated the volume balance within different time periods to obtain an assumption on the stability of the vascular barrier. Regarding the entire study cohort, our findings revealed a significant reduction in fluid balance at 72 h (T

Identifiants

pubmed: 38202301
pii: jcm13010294
doi: 10.3390/jcm13010294
pii:
doi:

Types de publication

Journal Article

Langues

eng

Auteurs

Klaus Kogelmann (K)

Department of Anesthesiology and Intensive Care Medicine, Klinikum Leer, Augustenstraße 35-37, 26789 Leer, Germany.

Tobias Hübner (T)

Department of Anesthesiology and Intensive Care, Kantonsspital Münsterlingen, Spitalcampus 1, 8596 Münsterlingen, Switzerland.

Matthias Drüner (M)

Department of Anesthesiology and Intensive Care Medicine, Klinikum Emden, 26721 Emden, Germany.

Dominik Jarczak (D)

Department of Intensive Care Medicine, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, Germany.

Classifications MeSH