When septic multiple organ dysfunction syndrome (MODS) occurs as a result of endotoxemia, diverse chemical mediators are excessively produced, and the patient becomes seriously ill. Under such circumstances, it is difficult to improve the patient's condition by endotoxin apheresis alone and hemodiafiltration should be carried out to remove excessive chemical mediators. Series-parallel treatment combining continuous endotoxin apheresis and hemodiafiltration is recommended for patients with septic MODS.

Download full-text PDF

Source
http://dx.doi.org/10.1111/j.1744-9987.2006.00341.xDOI Listing

Publication Analysis

Top Keywords

endotoxin apheresis
12
combining continuous
8
continuous endotoxin
8
patients septic
8
septic multiple
8
multiple organ
8
organ dysfunction
8
dysfunction syndrome
8
chemical mediators
8
apheresis hemodiafiltration
8

Similar Publications

Systemic inflammation attenuates the repair of damaged brains through reduced phagocytic activity of monocytes infiltrating the brain.

Mol Brain

July 2024

Neuroscience Graduate Program, Department of Biomedical Sciences, Ajou University School of Medicine, Worldcup-ro 164, Suwon, Kyunggi-do, 16499, South Korea.

In this study, we examined how systemic inflammation affects repair of brain injury. To this end, we created a brain-injury model by stereotaxic injection of ATP, a damage-associated molecular pattern component, into the striatum of mice. Systemic inflammation was induced by intraperitoneal injection of lipopolysaccharide (LPS-ip).

View Article and Find Full Text PDF

Introduction: The TKM-101 is a new hemofiltration column packed with a polymer alloy membrane consisting of polyethersulfone, polyvinylpyrrolidone, and sulfonated poly (arylene ether) copolymers. We examined the ability of the TKM-101 column to remove cytokines and humoral mediators from blood in vitro and the effects of extracorporeal treatment with the TKM-101 column on the mortality rate and inflammatory responses to endotoxic shock in vivo.

Methods: In vitro and in vivo laboratory investigations were conducted.

View Article and Find Full Text PDF

The Rationale and Current Status of Endotoxin Adsorption in the Treatment of Septic Shock.

J Clin Med

January 2022

Department of Anaesthesiology and Intensive Therapy, Wroclaw Medical University, Borowska 213, 50-556 Wroclaw, Poland.

Lipopolysaccharide, the main component of the outer membrane of Gram-negative bacteria is a highly potent endotoxin responsible for organ dysfunction in sepsis. It is present in the blood stream not only in Gram-negative infections, but also in Gram-positive and fungal infections, presumably due to sepsis-related disruption of the intestinal barrier. Various pathways, both extra- and intracellular, are involved in sensing endotoxin and non-canonical activation of caspase-mediated pyroptosis is considered to have a major role in sepsis pathophysiology.

View Article and Find Full Text PDF

The Japanese Society for Apheresis clinical practice guideline for therapeutic apheresis.

Ther Apher Dial

December 2021

The Japanese Society for Apheresis Guidelines Preparation Committee.

Article Synopsis
  • * In the U.S., apheresis mainly utilizes centrifugal separation, while Japan prefers a membrane separation method, complicating the application of ASFA guidelines in Japanese practice due to differing disease targets and treatment approaches.
  • * A group of specialists in various medical fields collaborated to create a comprehensive guideline for apheresis in Japan, formatted as a user-friendly worksheet to assist medical professionals with the therapy, and emphasizing the need for regular updates to keep pace with advancing medical
View Article and Find Full Text PDF

Sepsis is characterized by a dysregulated immune response to infections that causes life-threatening organ dysfunction and even death. When infections occur, bacterial cell wall components (endotoxin or lipopolysaccharide), known as pathogen-associated molecular patterns, bind to pattern recognition receptors, such as toll-like receptors, to initiate an inflammatory response for pathogen elimination. However, strong activation of the immune system leads to cellular dysfunction and ultimately organ failure.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!