[Use of coupled plasma filtration adsorption for septic shock treatment].
Coupled plasma filtration adsorption (CPFA) is a new technology proposed for septic shock, removing both pro- and anti-inflammatory mediators. We report the first use of CPFA in France. The patient was 80-years-old and was admitted to the intensive care unit because of septic shock from urinary source. Besides conventional septic shock treatment, four successive CPFA sessions were daily performed and lasted from 6 to 11 hours. At the end of the sessions, a noteworthy hemodynamic and inflammatory improvement was observed. This case confirms the feasibility and the relative simplicity of CPFA. It also illustrates the recent and few scientific data of the medical literature concerning this technology.
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Département d'anesthésie-réanimation, pavillon P réanimation, hôpital Edouard-Herriot, 5, place d'Arsonval, 69437 Lyon cedex 03, France. page.mat@gmail.com
Hayi-Slayman
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Christin
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Baillon
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Bret
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Rimmelé
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D000369:Aged, 80 and over; D004867:Equipment Design; D005602:France; D006439:Hemodynamics / Q000502:physiology*; D006440:Hemofiltration / Q000295:instrumentation / Q000379:methods* / Q000706:statistics & numerical data; D006801:Humans; D007249:Inflammation / Q000517:prevention & control; D008297:Male; D051437:Renal Insufficiency / Q000150:complications / Q000628:therapy; D012772:Shock, Septic / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*