58 research outputs found
Prone positioning in coronavirus disease 2019 patients with acute respiratory distress syndrome: How and when is the best way to do it?
SCOPUS: no.jinfo:eu-repo/semantics/publishe
A double catheter approach for extracorporeal CO2 removal integrated within a continuous renal replacement circuit
SCOPUS: ed.jinfo:eu-repo/semantics/publishe
Obesity inducing acute respiratory distress syndrome: We should choose the right population!
SCOPUS: no.jinfo:eu-repo/semantics/publishe
What should be the best dialysis catheter lock in critically ill patients?
SCOPUS: le.jinfo:eu-repo/semantics/publishe
Confirmation of high cytokine clearance by hemofiltration with a cellulose triacetate membrane with large pores: an in vivo study
Objective: To confirm in vivo the hypothesis that hemofiltration with a large pore membrane can achieve significant cytokine clearance. Method: We used a well-known animal model of endotoxinic shock (0.5 mg/kg of lipopolysaccharide from Escherichia Coli over a period of 30 mins). Six pigs were hemofiltrated for 3 hours with a large pore membrane (78 angstrom pore, 80 kDa cut off) (Sureflux FH 70, Nipro, Osaka, Japan). The ultrafiltration rate was 45 ml/kg/min. Samples were taken from arterial, venous line and in the ultrafiltrate at T120 and T240. We measured concentrations of interleukin 6, interleukin 10 and albumin. Results: At T120 and T240, the IL-6 clearances were 22 +/- 7 and 15 +/- 3 ml/min, respectively. The IL-6 sieving coefficients were 0.97 and 0.7 at T120 and T240, respectively. At T120 and T240, the IL-10 clearances were 14 +/- 4 and 10 +/- 7 ml/min, respectively. The sieving coefficients were 0.63 and 0.45 at T120 and T240, respectively. The concentrations of IL-6 and IL-10 were the same at T0 and T240. At T60 and T240, the plasmatic albumin concentrations were 24 +/- 4 g/L and 23 +/- 4 g/L, respectively ( p = 0.13). Conclusions: In this animal model of endotoxinic shock, we confirm the high cytokine clearance observed when hemofiltration is applied to a large pore membrane. The loss of albumin seems negligible. The impact of such clearances on hemodynamic stability and survival remains to be proved
Interleukin-26 is a promising biomarker of sepsis but is it always reliable?
SCOPUS: le.jinfo:eu-repo/semantics/publishe
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