Medline ® Abstract for Reference 13
of 'Investigational and ineffective therapies for sepsis'
13
TI
Effect of an endotoxin-removing column containing immobilized polymyxin B fiber in a patient with septic shock from gram-positive infection.
AU
Iwama H, Komatsu T
SO
Acta Anaesthesiol Scand. 1998;42(5):590.
A 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.
AD
Trauma and Critical Care Center, Central Aizu General Hospital, Aizuwakamatsu, Japan.
PMID
