Cytosorb use in postoperative treatment of a patient with infective endocarditis
We report of a 39 years old male patient who was admitted to hospital for a surgical treatment of endocarditis of the prosthetic aortic valve. Just after surgery, he had developed a severe inflammatory response with acute kidney and liver injury. Because of that, beside the usual therapy, on the sec...
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| Format: | Article |
| Language: | English |
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Serbian Society of Anesthesiologists and Intensivists
2018-01-01
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| Series: | Serbian Journal of Anesthesia and Intensive Therapy |
| Subjects: | |
| Online Access: | https://scindeks-clanci.ceon.rs/data/pdf/2217-7744/2018/2217-77441804099M.pdf |
| _version_ | 1818721019163049984 |
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| author | Marković Dejan Kočica Mladen Cvetković Dragan Tutuš Vladimir Kočica Milica Putnik Svetozar |
| author_facet | Marković Dejan Kočica Mladen Cvetković Dragan Tutuš Vladimir Kočica Milica Putnik Svetozar |
| author_sort | Marković Dejan |
| collection | DOAJ |
| description | We report of a 39 years old male patient who was admitted to hospital for a surgical treatment of endocarditis of the prosthetic aortic valve. Just after surgery, he had developed a severe inflammatory response with acute kidney and liver injury. Because of that, beside the usual therapy, on the second postoperative day, continuous renal replacement therapy (CRRT) started in CVVHDF mode with hemadsorption using Cytosorb. The Cytosorb therapy is based on an extracorporeal blood purification that reduces excessive levels of inflammatory mediators. After 5 days of CRRT and Cytosorb therapy patient was stable, extubated, with normal kidney and liver function. On the next day, patient was unstable again with significant leukocytosis. Performed reoperation was done due to cardiac tamponade and after that CRRT and Cytosorb therapy were re-established. A few hours later patient was hemodynamically stable. Summary: The Cytosorb treatment can be very useful in postoperative treatment of acute kidney injury and sepsis in patients after the surgical treatment of bacterial endocarditis. |
| first_indexed | 2024-12-17T20:32:04Z |
| format | Article |
| id | doaj.art-8bbfde4723b54917ab8ce86a15202a12 |
| institution | Directory Open Access Journal |
| issn | 2217-7744 2466-488X |
| language | English |
| last_indexed | 2024-12-17T20:32:04Z |
| publishDate | 2018-01-01 |
| publisher | Serbian Society of Anesthesiologists and Intensivists |
| record_format | Article |
| series | Serbian Journal of Anesthesia and Intensive Therapy |
| spelling | doaj.art-8bbfde4723b54917ab8ce86a15202a122022-12-21T21:33:33ZengSerbian Society of Anesthesiologists and IntensivistsSerbian Journal of Anesthesia and Intensive Therapy2217-77442466-488X2018-01-01403-4991022217-77441804099MCytosorb use in postoperative treatment of a patient with infective endocarditisMarković Dejan0Kočica Mladen1Cvetković Dragan2Tutuš Vladimir3Kočica Milica4Putnik Svetozar5Klinički Centar Srbije, Centar za anesteziologiju i reanimatologiju, Beograd + Univerzitet u Beogradu, Medicinski fakultet, BeogradKlinički Centar Srbije, Klinika za kardiohirurgiju, BeogradUniverzitet u Beogradu, Medicinski fakultet, Beograd + Klinički Centar Srbije, Klinika za kardiohirurgiju, BeogradKlinički Centar Srbije, Centar za anesteziologiju i reanimatologiju, BeogradKlinički Centar Srbije, Centar za anesteziologiju i reanimatologiju, BeogradUniverzitet u Beogradu, Medicinski fakultet, Beograd + Klinički Centar Srbije, Klinika za kardiohirurgiju, BeogradWe report of a 39 years old male patient who was admitted to hospital for a surgical treatment of endocarditis of the prosthetic aortic valve. Just after surgery, he had developed a severe inflammatory response with acute kidney and liver injury. Because of that, beside the usual therapy, on the second postoperative day, continuous renal replacement therapy (CRRT) started in CVVHDF mode with hemadsorption using Cytosorb. The Cytosorb therapy is based on an extracorporeal blood purification that reduces excessive levels of inflammatory mediators. After 5 days of CRRT and Cytosorb therapy patient was stable, extubated, with normal kidney and liver function. On the next day, patient was unstable again with significant leukocytosis. Performed reoperation was done due to cardiac tamponade and after that CRRT and Cytosorb therapy were re-established. A few hours later patient was hemodynamically stable. Summary: The Cytosorb treatment can be very useful in postoperative treatment of acute kidney injury and sepsis in patients after the surgical treatment of bacterial endocarditis.https://scindeks-clanci.ceon.rs/data/pdf/2217-7744/2018/2217-77441804099M.pdfCytosorbhemadsorptionendocarditisinflammationcytokines |
| spellingShingle | Marković Dejan Kočica Mladen Cvetković Dragan Tutuš Vladimir Kočica Milica Putnik Svetozar Cytosorb use in postoperative treatment of a patient with infective endocarditis Serbian Journal of Anesthesia and Intensive Therapy Cytosorb hemadsorption endocarditis inflammation cytokines |
| title | Cytosorb use in postoperative treatment of a patient with infective endocarditis |
| title_full | Cytosorb use in postoperative treatment of a patient with infective endocarditis |
| title_fullStr | Cytosorb use in postoperative treatment of a patient with infective endocarditis |
| title_full_unstemmed | Cytosorb use in postoperative treatment of a patient with infective endocarditis |
| title_short | Cytosorb use in postoperative treatment of a patient with infective endocarditis |
| title_sort | cytosorb use in postoperative treatment of a patient with infective endocarditis |
| topic | Cytosorb hemadsorption endocarditis inflammation cytokines |
| url | https://scindeks-clanci.ceon.rs/data/pdf/2217-7744/2018/2217-77441804099M.pdf |
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