Septic Hyperinflammation-Is There a Role for Extracorporeal Blood Purification Techniques?
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Septic Hyperinflammation-Is There a Role for Extracorporeal Blood Purification Techniques? / Jarczak, Dominik; Kluge, Stefan; Nierhaus, Axel.
In: INT J MOL SCI, Vol. 25, No. 6, 3120, 08.03.2024.Research output: SCORING: Contribution to journal › SCORING: Review article › Research
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TY - JOUR
T1 - Septic Hyperinflammation-Is There a Role for Extracorporeal Blood Purification Techniques?
AU - Jarczak, Dominik
AU - Kluge, Stefan
AU - Nierhaus, Axel
PY - 2024/3/8
Y1 - 2024/3/8
N2 - This manuscript investigates the role of extracorporeal blood purification techniques in managing septic hyperinflammation, a critical aspect of sepsis characterized by an uncontrolled immune response leading to multiorgan dysfunction. We provide an overview of sepsis, focusing on the dynamics of immune response, the involvement of neutrophils, and the role of the endothelium in the disease's progression. It evaluates the effectiveness of various blood purification methods, including high-cut-off membranes, high-volume hemofiltration, adsorption techniques, and albumin dialysis, in removing cytokines and endotoxin and improving hemodynamic stability. Despite some very promising results, we conclude that the current evidence does not strongly support these techniques in significantly improving survival rates in septic patients, clearly underlining the need for further research.
AB - This manuscript investigates the role of extracorporeal blood purification techniques in managing septic hyperinflammation, a critical aspect of sepsis characterized by an uncontrolled immune response leading to multiorgan dysfunction. We provide an overview of sepsis, focusing on the dynamics of immune response, the involvement of neutrophils, and the role of the endothelium in the disease's progression. It evaluates the effectiveness of various blood purification methods, including high-cut-off membranes, high-volume hemofiltration, adsorption techniques, and albumin dialysis, in removing cytokines and endotoxin and improving hemodynamic stability. Despite some very promising results, we conclude that the current evidence does not strongly support these techniques in significantly improving survival rates in septic patients, clearly underlining the need for further research.
KW - Humans
KW - Renal Dialysis
KW - Hemofiltration/methods
KW - Sepsis/therapy
KW - Cytokines
KW - Adsorption
KW - Shock, Septic
U2 - 10.3390/ijms25063120
DO - 10.3390/ijms25063120
M3 - SCORING: Review article
C2 - 38542094
VL - 25
JO - INT J MOL SCI
JF - INT J MOL SCI
SN - 1661-6596
IS - 6
M1 - 3120
ER -