Hemadsorption with Adult CytoSorb® in a Low Weight Pediatric Case
Joint Authors
Cirstoveanu, Catalin Gabriel
Barascu, Ileana
Mc Kenzie Stancu, Samantha
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-01-03
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Cytokine adsorber (CytoSorb) has been used successfully as adjunctive treatment for adult patients with elevated cytokine levels in the setting with severe sepsis and septic shock and to reduce blood myoglobin, unconjugated bilirubin, and conjugated bilirubin.
In this article we present the case of a nine-month-old male infant who was admitted to the NICU due to sepsis after cardiac surgery, Fallot tetralogy, and multisystem organ failure (MSOF) including liver failure and renal failure which was successfully treated by a combination of continuous hemodiafiltration (HDF) and hemadsorption with CytoSorb.
HDF was safe and effective from the first day for urea removal, but the patient’s bilirubin levels kept increasing gradually, culminating on the 9th day with a maximum value of 54 mg/dL of total bilirubin and 31.67 mg/dL of direct bilirubin when we performed hemadsorption with CytoSorb.
Over the 49-hour period of hemadsorption, the total bilirubin value decreased from 54 to 14 mg/dL, and the patient’s general status improved considerably accompanied by a rapid drop of aminotransferases.
Hemodynamic status has been improved as well and inotropes dropped rapidly.
The patient’s ventilation settings improved during CytoSorb treatment permitting weaning the patient from mechanical ventilation after five days of hemadsorption.
The patient was discharged home after 34 days of hospitalization, in a good general status.
American Psychological Association (APA)
Cirstoveanu, Catalin Gabriel& Barascu, Ileana& Mc Kenzie Stancu, Samantha. 2017. Hemadsorption with Adult CytoSorb® in a Low Weight Pediatric Case. Case Reports in Critical Care،Vol. 2017, no. 2017, pp.1-5.
https://search.emarefa.net/detail/BIM-1144415
Modern Language Association (MLA)
Cirstoveanu, Catalin Gabriel…[et al.]. Hemadsorption with Adult CytoSorb® in a Low Weight Pediatric Case. Case Reports in Critical Care No. 2017 (2017), pp.1-5.
https://search.emarefa.net/detail/BIM-1144415
American Medical Association (AMA)
Cirstoveanu, Catalin Gabriel& Barascu, Ileana& Mc Kenzie Stancu, Samantha. Hemadsorption with Adult CytoSorb® in a Low Weight Pediatric Case. Case Reports in Critical Care. 2017. Vol. 2017, no. 2017, pp.1-5.
https://search.emarefa.net/detail/BIM-1144415
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1144415