Veno-venous extracorporeal membrane oxygenation, cytokine removal and continuous renal replacement therapy in a severe burn adult patient

Autor:	Serban-Ion Bubenek-Turconi, Dan Corneci, Costin Scarlat, Sorin Baila, Penelopia Marinescu, Liana Valeanu
Rok vydání:	2022
Předmět:	Biomaterials Biomedical Engineering Medicine (miscellaneous) Bioengineering General Medicine
Zdroj:	The International Journal of Artificial Organs. 46:120-125
ISSN:	1724-6040 0391-3988
DOI:	10.1177/03913988221145456
Popis:	Acute respiratory distress syndrome (ARDS) can develop early in burn patients with inhalation injury in the presence of cytokine storm and the proinflammatory response can be a supplemental factor for ARDS aggravation. We report the case of a 41-years old male with 25% total body surface area deep partial thickness burns to upper body extremity and grade II inhalational injury who developed severe ARDS, nosocomial pneumonia, and septic shock. Veno-venous extracorporeal membrane oxygenation (VV ECMO) and continuous renal replacement therapy (CRRT) with hemoadsorption were successfully used at different moments to overcome critical situations. Although debatable, the use of ECMO in burn patients with severe ARDS could be considered when conventional treatment fails. The use of CRRT combined with hemoadsorption may limit the proinflammatory response sustained by the combination between major burn, ECMO and sepsis.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::488ecf3b4ee0346ed19765c3d5453782 https://doi.org/10.1177/03913988221145456 Zobrazit plný text záznamu