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Bioartificial Therapy of Sepsis: Changes of Norepinephrine-Dosage in Patients and Influence on Dynamic and Cell Based Liver Tests during Extracorporeal Treatments
Joint Authors
Mencke, Thomas
Sauer, Martin
Doss, Sandra
Altrichter, Jens
Haubner, Cristof
Pertschy, Annette
Wild, Thomas
Doß, Fanny
Thomsen, Maren
Ehler, Johannes
Henschel, Jörg
Koch, Stephanie
Richter, Georg
Nöldge-Schomburg, Gabriele
Mitzner, Steffen R.
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-11, 11 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-06-28
Country of Publication
Egypt
No. of Pages
11
Main Subjects
Abstract EN
Purpose.
Granulocyte transfusions have been used to treat immune cell dysfunction in sepsis.
A granulocyte bioreactor for the extracorporeal treatment of sepsis was tested in a prospective clinical study focusing on the dosage of norepinephrine in patients and influence on dynamic and cell based liver tests during extracorporeal therapies.
Methods and Patients.
Ten patients with severe sepsis were treated twice within 72 h with the system containing granulocytes from healthy donors.
Survival, physiologic parameters, extended hemodynamic measurement, and the indocyanine green plasma disappearance rate (PDR) were monitored.
Plasma of patients before and after extracorporeal treatments were tested with a cell based biosensor for analysis of hepatotoxicity.
Results.
The observed mortality rate was 50% during stay in hospital.
During the treatments, the norepinephrine-dosage could be significantly reduced while mean arterial pressure was stable.
In the cell based analysis of hepatotoxicity, the viability and function of sensor-cells increased significantly during extracorporeal treatment in all patients and the PDR-values increased significantly between day 1 and day 7 only in survivors.
Conclusion.
The extracorporeal treatment with donor granulocytes showed promising effects on dosage of norepinephrine in patients, liver cell function, and viability in a cell based biosensor.
Further studies with this approach are encouraged.
American Psychological Association (APA)
Sauer, Martin& Altrichter, Jens& Haubner, Cristof& Pertschy, Annette& Wild, Thomas& Doß, Fanny…[et al.]. 2016. Bioartificial Therapy of Sepsis: Changes of Norepinephrine-Dosage in Patients and Influence on Dynamic and Cell Based Liver Tests during Extracorporeal Treatments. BioMed Research International،Vol. 2016, no. 2016, pp.1-11.
https://search.emarefa.net/detail/BIM-1098656
Modern Language Association (MLA)
Sauer, Martin…[et al.]. Bioartificial Therapy of Sepsis: Changes of Norepinephrine-Dosage in Patients and Influence on Dynamic and Cell Based Liver Tests during Extracorporeal Treatments. BioMed Research International No. 2016 (2016), pp.1-11.
https://search.emarefa.net/detail/BIM-1098656
American Medical Association (AMA)
Sauer, Martin& Altrichter, Jens& Haubner, Cristof& Pertschy, Annette& Wild, Thomas& Doß, Fanny…[et al.]. Bioartificial Therapy of Sepsis: Changes of Norepinephrine-Dosage in Patients and Influence on Dynamic and Cell Based Liver Tests during Extracorporeal Treatments. BioMed Research International. 2016. Vol. 2016, no. 2016, pp.1-11.
https://search.emarefa.net/detail/BIM-1098656
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1098656