RESUMEN
If Septic shock (SS) evolves to refractory SS, mortality could reach 90%, despite giving an optimal treatment. Nowadays, extracorporeal devices which adsorb inflammatory cytokines are available, reducing the systemic inflammatory response syndrome. These devices can be used with continuous renal replacement therapy or conventional hemodialysis. We report two diabetic females aged 50 and 58 years, who underwent a total colectomy and amputation of diabetic foot and who developed a SS with high requirements of vasoactive drugs (norepinephrine and adrenaline) to maintain a mean arterial pressure about 60 mmHg. Both were subjected to hemodialysis, connected to a cytokine hemadsorption device. The most important finding was the progressive reduction of vasopressor doses, effect that was observed nine hours after the beginning of the hemadsorption and lasted until its removal at 26 hours. Both patients survived.
Asunto(s)
Humanos , Femenino , Persona de Mediana Edad , Choque Séptico/terapia , Citocinas/sangre , Diálisis Renal/instrumentación , Diálisis Renal/métodos , Hemoperfusión/instrumentación , Hemoperfusión/métodos , Factores de Tiempo , Reproducibilidad de los Resultados , Resultado del TratamientoRESUMEN
Legionella pneumonia is often complicated by multiple organ failure. Although acute kidney injury is relatively rare in the context of Legionella pneumonia, it is associated with an increase in mortality rate. This report describes a case of a patient with Legionella pneumonia and acute kidney injury who was successfully treated with polymyxin B-immobilized fiber column direct hemoperfusion [PMX-DHP]. We conclude that PMX-DHP may be a useful therapeutic modality in patients with Legionella infection and acute kidney injury
Asunto(s)
Humanos , Masculino , Lesión Renal Aguda/tratamiento farmacológico , Polimixina B , Resultado del Tratamiento , Polimixina B/química , Hemoperfusión/métodos , EndotoxinasRESUMEN
El paraquat es un plaguicida agricola bipiridilo, cuyos efectos tóxicos más severos son año hepato-renal y fibrosis pulmonar irreversible. Se reportan dos casos de intoxicación en niños, por ingestión accidental de paraquat; ellos desarrollaron sialorrea, vómitos azul verdoso, lesión digestiva cáustica. dificultad respiratoria, daño hepato-renal, alteraciones radiológicas y presencia de paraquat en orina y sangre. Ambos pacientes recibieron el tratamiento disponible entre 24-48 horas despues de la ingestion y tuvieron una evolución satisfactoria. El tratamiento consistió basicamente en diálisis gastrointestinal, diuresis forzada ácida, N-acetilcisteína y dexametasona.
Paraquat is a bipyridyl agricultural pesticide, whose more severe effects are hepatic-renal damage and irreversible pulmonary fibrosis. Two children with paraquat accidental poisoning are reported; they developed syalorrhea, blue greenish vomiting, caustic digestive injury, breathing difficulty, liver and kidney damage, radiographic changes and presence of paraquat in blood and urine. Both patients received the available treatment 24-48 hours after ingetion and had a satisfactory autcome. The consisted basically of gatrointestinal dialysis, acidic forced diuresis, N-acetylcysteine and dexamethasone.
Asunto(s)
Humanos , Masculino , Lactante , Preescolar , Cromatografía de Gases y Espectrometría de Masas/instrumentación , Esofagitis/diagnóstico , Fibrosis Pulmonar/complicaciones , Hemoperfusión/métodos , Insuficiencia Respiratoria/diagnóstico , Paraquat/toxicidad , Accidentes/tendencias , Herbicidas/envenenamiento , Herbicidas/toxicidadRESUMEN
The mortality rate of acute paraquat (PQ) poisoning depends on the PQ concentration in the blood. It has been shown that the kidneys eliminate PQ effectively. However, early renal function deterioration is frequently observed in acute PQ intoxication. This study is designed to compare the efficacy of PQ elimination with hemoperfusion (HP) and kidneys, taking into account the functional deterioration of the kidneys. The amount of renal and HP excretion of PQ were measured during the procedure of HP in patients with acute PQ intoxication. The PQ clearance and the actual amount of PQ elimination by the HP cartridge during the HP procedure were 111+/-11 mL/min (range; 13.2-162.2 mL/min) and 251.4+/-506.3 mg (range; 4.6- 1,655.7) each. While, the renal clearance and actual amount of renal elimination of PQ was 79.8+/-56.0 mL/min (range; 9.7-177.0) and 75.4+/-73.6 mg (range; 4.9- 245.8). As the creatinine clearance decreased, the PQ elimination by HP was as effective as or more effective than the renal elimination. In conclusion, early HP must be provided for life saving treatment in patients with acute PQ intoxication.
Asunto(s)
Adulto , Anciano , Femenino , Humanos , Masculino , Persona de Mediana Edad , Creatinina/sangre , Medicina de Emergencia/métodos , Hemoperfusión/métodos , Herbicidas/envenenamiento , Riñón/efectos de los fármacos , Sobredosis de Droga/terapia , Paraquat/envenenamiento , Diálisis Renal/métodos , SuicidioRESUMEN
Las intoxicaciones constituyen un motivo frecuente de consulta a las salas de emergencia de los hospitales. Aunque pueden ocurrir en personas de cualquier edad. Son más frecuentes en niños, adolescentes y ancianos. Aparte de las medidas de manejo general que comprenden: mantenimiento de la vía aérea y adecuado balance hidroelectrolítico, así como el cuidado adecuado del paciente comatoso; están aquellas medidas orientadas a evitar la absorción del tóxico y/o promover su excreción con otros métodos destinados a la remoción activa del veneno (tal como la diálisis), las cuales constituyen opciones terapéuticas que resultan en la recuperación de la mayoría de las victimas