The potential role of extracorporeal cytokine removal with CytoSorb® as an adjuvant therapy in Acute Respiratory Distress Syndrome.

IF 1.4 4区 医学 Q4 ENGINEERING, BIOMEDICAL
Dana Tomescu, Mihai Popescu, Ali Akil, Amir Ahmad Nassiri, Florian Wunderlich-Sperl, Klaus Kogelmann, Zsolt Molnar, Abdulrahman Alharthy, Dimitrios Karakitsos
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引用次数: 0

Abstract

Management of acute respiratory distress syndrome (ARDS) represents one of the greatest challenges in intensive care and despite all efforts mortality remains high. One common phenotype of ARDS is that of a secondary injury to a dysregulated inflammatory host response resulting in increased capillary congestion, interstitial lung edema, atelectasis, pulmonary embolism, muscle wasting, recurring infectious episodes, and multiple organ failure. In cases of hyperinflammation, immunomodulation by extracorporeal cytokine removal such as the CytoSorb hemoadsorption cartridge could conceptually enhance lung recovery during the early course of the disease. The aim of this narrative review is to summarize the currently available data in this field and to provide an overview of pathophysiology and rationale for the use of CytoSorb hemoadsorption in patients with hyperinflammatory ARDS.

体外细胞因子去除与CytoSorb®作为辅助治疗急性呼吸窘迫综合征的潜在作用。
急性呼吸窘迫综合征(ARDS)的管理是重症监护的最大挑战之一,尽管尽了一切努力,死亡率仍然很高。ARDS的一种常见表型是炎症宿主反应失调的继发性损伤,导致毛细血管充血增加、间质性肺水肿、肺不张、肺栓塞、肌肉萎缩、反复感染发作和多器官衰竭。在过度炎症的情况下,通过体外细胞因子去除(如CytoSorb血液吸附盒)进行免疫调节,理论上可以在疾病早期增强肺部恢复。这篇叙述性综述的目的是总结目前在这一领域的可用数据,并提供在高炎症性ARDS患者中使用CytoSorb血液吸附的病理生理学和基本原理的概述。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
International Journal of Artificial Organs
International Journal of Artificial Organs 医学-工程:生物医学
CiteScore
3.40
自引率
5.90%
发文量
92
审稿时长
3 months
期刊介绍: The International Journal of Artificial Organs (IJAO) publishes peer-reviewed research and clinical, experimental and theoretical, contributions to the field of artificial, bioartificial and tissue-engineered organs. The mission of the IJAO is to foster the development and optimization of artificial, bioartificial and tissue-engineered organs, for implantation or use in procedures, to treat functional deficits of all human tissues and organs.
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