The effect of postoperative hemosorption (HS) on the pulmonary functions in 55 patients with acute ileus was studied. The severity of the state of the patients was conditioned by intoxication leading to ++over-stress of the non-respiratory pulmonary functions and development of I-II stage acute respiratory failure. HS contributes to detoxication of an organism, but is accompanied by the mean 30-35% loss of the oxygen on the adsorbent resulting in development of arterial hypoxemia. Thus, HS should be added with spontaneous breathing with positive pressure at the end of expiration.
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J Anus Rectum Colon
October 2024
Department of Surgery, Fukuoka Tokushukai Hospital, Kasuga, Japan.
Braz J Cardiovasc Surg
May 2024
Department of Cardiac Surgery, Anthea Hospital, GVM Care & Research, Bari, Italy.
Introduction: Prevention of acute kidney injury during cardiopulmonary bypass (CPB) is still a challenge and has been the object of numerous studies. The incidence of acute kidney injury in the context of CPB is related to a multifactorial etiology. The role of hemadsorption in relation to cell-free hemoglobin and haptoglobin preservation is not well defined in the literature on CPB during cardiac surgery procedures.
View Article and Find Full Text PDFShock
July 2024
Department of Anaesthesiology and Pain Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea.
Background : This study aimed to evaluate the effect of polymyxin B hemoperfusion (PMX-HP) in patients with peritonitis-induced septic shock who still required high-dose vasopressors after surgical source control. Methods : This retrospective study included adult patients admitted to the surgical intensive care unit (ICU) at Seoul National University Hospital between July 2014 and February 2021 who underwent major abdominal surgery to control the source of sepsis. Patients were divided into two groups based on whether PMX-HP was applied after surgery or not.
View Article and Find Full Text PDFBlood Purif
July 2024
Department of Intensive Care, University Hospital of Foggia, Foggia, Italy.
Introduction: Comparison of the marker kinetics procalcitonin, presepsin, and endotoxin during extracorporeal hemoperfusion with polymyxin-B adsorbing cartridge (PMX-HA) has never been described in abdominal sepsis. We aimed to compare the trend of three biomarkers in septic post-surgical abdominal patients in intensive care unit (ICU) treated with PMX-HA and their prognostic value.
Methods: Ninety abdominal post-surgical patients were enrolled into different groups according to the evidence of postoperative sepsis or not.
Heart Surg Forum
January 2023
Department of Cardiovascular Surgery, General Hospital of Western Theater Command, Chengdu, China.
Objectives: Cardiopulmonary bypass (CPB) induces inflammatory homeostasis dysregulation, closely related to many postoperative adverse effects. Minimizing the systemic inflammatory response to CPB is imperative to improving cardiac surgery safety. This study aimed to retrospectively evaluate the efficacy of the hemoperfusion cartridge, a device recently designed for extracorporeal blood purification to remove cytokines from the blood for patients undergoing cardiac valve replacement surgery using CPB.
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