Hemofilter with Adsorptive Capacities: Case Report Series

Ling Zhang, Gloria Kai Yan Tang, Songqiao Liu, Jing Cai, Wai Ming Chan, Yi Yang, Ping Chang, Tiantian Wei, Xinyu Liu, Qiang Yao,

Blood Purification · 2019 · 26 citations · 11 references

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Abstract

Here, we present 4 cases managed in intensive care units of major hospitals in China. Key practical aspects from an expert meeting discussing these cases have been included as guidance for the use of oXiris in septic AKI patients. Key Messages: Based on the experience gathered from 4 cases, oXiris should be used early in the treatment of septic AKI patients as an adjuvant therapy with good infection source control. It should not be used to delay or replace infection source control. These cases also demonstrated that patients with high risk of bleeding can use oXiris without additional anticoagulation for up to 36 h without implications on serum protein levels and platelet count. Short of definitive biomarkers to gauge the ideal blood purification initiation and discontinuation time for septic AKI patients, clinical judgment is key to determining optimal use of oXiris in septic AKI patients.

References

11