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Acta Anaesthesiol Scand · May 1998
Case ReportsEffect of an endotoxin-removing column containing immobilized polymyxin B fiber in a patient with septic shock from gram-positive infection.
- H Iwama and T Komatsu.
- Trauma and Critical Care Center, Central Aizu General Hospital, Aizuwakamatsu, Japan.
- Acta Anaesthesiol Scand. 1998 May 1;42(5):590-3.
AbstractA 67-yr-old patient with septic shock caused by gram-positive infection fell into circulatory collapse. Direct hemoperfusion with an endotoxin-removing column was then carried out for 120 min. As a result, blood pressure and systemic vascular resistance increased significantly during this therapy. Cardiac output changed from hyperdynamic to normodynamic, and plasma endotoxin level decreased. After this treatment, the patient recovered. From this experience, we consider that the endotoxin-removing column may be effective for septic shock patients.
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