Cytokine removal in human septic shock: Where are we and where are we going?

Abstract:

:Although improving, the mortality from septic shock still remains high despite increased international awareness. As a consequence, much effort has focused on alternative treatment strategies in an effort to improve outcomes. The application of blood purification therapies to improve immune homeostasis has been suggested as one such method, but these approaches, such as high-volume continuous haemofiltration or cytokine and/or endotoxin removal, have enjoyed little success to date. More recently, the use of sorbent technologies has attracted much attention. These adsorbers are highly effective at removing inflammatory mediators, in particular, cytokines, from the bloodstream. This narrative review is the executive summary of meetings held throughout the 6th International Fluid Academy Days in Antwerp, Belgium (Nov 23-25, 2017), focusing on the current understanding regarding the use of such adsorbers in humans with septic shock. We followed a modified Delphi approach involving a combination of evidence appraisal together with expert opinion in order to achieve recommendations for practice and, importantly, future research.

journal_name

Ann Intensive Care

journal_title

Annals of intensive care

authors

Honore PM,Hoste E,Molnár Z,Jacobs R,Joannes-Boyau O,Malbrain MLNG,Forni LG

doi

10.1186/s13613-019-0530-y

subject

Has Abstract

pub_date

2019-05-14 00:00:00

pages

56

issue

1

issn

2110-5820

pii

10.1186/s13613-019-0530-y

journal_volume

9

pub_type

杂志文章,评审
  • Elevated plasma IL-6 and CRP levels are associated with adverse clinical outcomes and death in critically ill SARS-CoV-2 patients: inflammatory response of SARS-CoV-2 patients.

    abstract:BACKGROUND:SARS coronavirus 2 (SARS-CoV-2) is responsible for high morbidity and mortality worldwide, mostly due to the exacerbated inflammatory response observed in critically ill patients. However, little is known about the kinetics of the systemic immune response and its association with survival in SARS-CoV-2+ pati...

    journal_title:Annals of intensive care

    pub_type: 杂志文章

    doi:10.1186/s13613-020-00798-x

    authors: Lavillegrand JR,Garnier M,Spaeth A,Mario N,Hariri G,Pilon A,Berti E,Fieux F,Thietart S,Urbina T,Turpin M,Darrivière L,Fartoukh M,Verdonk F,Dumas G,Tedgui A,Guidet B,Maury E,Chantran Y,Voiriot G,Ait-Oufella H

    更新日期:2021-01-13 00:00:00

  • Effect of insulin infusion line on glycaemic variability in a perioperative high dependency unit (HDU): a prospective randomised controlled trial.

    abstract:BACKGROUND:Glucose control is an important issue in post-operative patients. The objective here was to compare two insulin infusion lines by syringe pumps to assess the impact of medical devices on glycaemic variability in surgical patients under intensive insulin therapy. This open, prospective, single-centre randomis...

    journal_title:Annals of intensive care

    pub_type: 杂志文章

    doi:10.1186/s13613-017-0298-x

    authors: Genay S,Décaudin B,Ethgen S,Alluin A,Babol E,Labreuche J,Behal H,Vantyghem MC,Odou P,Lebuffe G

    更新日期:2017-12-01 00:00:00

  • Impact of systematic screening for AmpC-hyperproducing Enterobacterales intestinal carriage in intensive care unit patients.

    abstract:BACKGROUND:Empirical antimicrobial therapy (EAT) is a challenge for community-acquired, hospital-acquired and ventilator-associated pneumonia, particularly in the context of the increasing occurrence of third-generation cephalosporin-resistant Enterobacterales (3GCR-E), including extended-spectrum beta-lactamase Entero...

    journal_title:Annals of intensive care

    pub_type: 杂志文章

    doi:10.1186/s13613-020-00754-9

    authors: Elsa M,Matthieu LD,De Ponfilly Gauthier P,Hanaa B,Rishma A,Emmanuelle C,Benjamin S,Glenn CB,Hervé J

    更新日期:2020-10-29 00:00:00

  • Driving pressure during proportional assist ventilation: an observational study.

    abstract:BACKGROUND:During passive mechanical ventilation, the driving pressure of the respiratory system is an important mediator of ventilator-induced lung injury. Monitoring of driving pressure during assisted ventilation, similar to controlled ventilation, could be a tool to identify patients at risk of ventilator-induced l...

    journal_title:Annals of intensive care

    pub_type: 杂志文章

    doi:10.1186/s13613-018-0477-4

    authors: Vaporidi K,Psarologakis C,Proklou A,Pediaditis E,Akoumianaki E,Koutsiana E,Chytas A,Chouvarda I,Kondili E,Georgopoulos D

    更新日期:2019-01-03 00:00:00

  • Poor outcome is associated with less negative fluid balance in patients with aneurysmal subarachnoid hemorrhage treated with prophylactic vasopressor-induced hypertension.

    abstract:BACKGROUND:Aneurysmal subarachnoid hemorrhage (SAH) is a serious condition associated with high mortality rates and long-term disability. We investigated the impact of fluid balance on neurologic outcome after adjustment for possible confounders related to intensive care therapy and extra-cerebral organ failure during ...

    journal_title:Annals of intensive care

    pub_type: 杂志文章

    doi:10.1186/s13613-016-0128-6

    authors: Sakr Y,Dünisch P,Santos C,Matthes L,Zeidan M,Reinhart K,Kalff R,Ewald C

    更新日期:2016-12-01 00:00:00

  • Patient-important outcomes in randomized controlled trials in critically ill patients: a systematic review.

    abstract:BACKGROUND:Intensivists' clinical decision making pursues two main goals for patients: to decrease mortality and to improve quality of life and functional status in survivors. Patient-important outcomes are gaining wide acceptance in most fields of clinical research. We sought to systematically review how well patient-...

    journal_title:Annals of intensive care

    pub_type: 杂志文章,评审

    doi:10.1186/s13613-017-0243-z

    authors: Gaudry S,Messika J,Ricard JD,Guillo S,Pasquet B,Dubief E,Boukertouta T,Dreyfuss D,Tubach F

    更新日期:2017-12-01 00:00:00

  • Urea for treatment of acute SIADH in patients with subarachnoid hemorrhage: a single-center experience.

    abstract:BACKGROUND:Hyponatremia occurring as a result of the syndrome of inappropriate antidiuretic hormone secretion (SIADH) or cerebral salt wasting syndrome is a common complication in patients with subarachnoid hemorrhage (SAH). The efficacy and safety of urea as treatment for SIADH-induced hyponatremia has not been report...

    journal_title:Annals of intensive care

    pub_type: 杂志文章

    doi:10.1186/2110-5820-2-13

    authors: Pierrakos C,Taccone FS,Decaux G,Vincent JL,Brimioulle S

    更新日期:2012-05-30 00:00:00

  • Implementation and evaluation of a paediatric nurse-driven sedation protocol in a paediatric intensive care unit.

    abstract:BACKGROUND:Optimal sedation and analgesia is a challenge in paediatric intensive care units (PICU) because of difficulties in scoring systems and specific metabolism inducing tolerance and withdrawal. Excessive sedation is associated with prolonged mechanical ventilation and hospitalisation. Adult and paediatric data s...

    journal_title:Annals of intensive care

    pub_type: 杂志文章

    doi:10.1186/s13613-017-0256-7

    authors: Dreyfus L,Javouhey E,Denis A,Touzet S,Bordet F

    更新日期:2017-12-01 00:00:00

  • Intra-abdominal pressure and abdominal perfusion pressure in cirrhotic patients with septic shock.

    abstract:BACKGROUND:The importance of intra-abdominal pressure (IAP) and abdominal perfusion pressure (APP) in cirrhotic patients with septic shock is not well studied. We evaluated the relationship between IAP and APP and outcomes of cirrhotic septic patients, and assessed the ability of these measures compared to other common...

    journal_title:Annals of intensive care

    pub_type: 杂志文章

    doi:10.1186/2110-5820-2-S1-S4

    authors: Al-Dorzi HM,Tamim HM,Rishu AH,Aljumah A,Arabi YM

    更新日期:2012-07-05 00:00:00

  • Efficacy of chlorhexidine bathing for reducing healthcare associated bloodstream infections: a meta-analysis.

    abstract:BACKGROUND:We performed a meta-analysis of randomized controlled trials (RCTs) to determine if daily bathing with chlorhexidine decreased hospital-acquired BSIs in critically ill patients. METHODS:We searched the MEDLINE, EMBASE, and Cochrane Central Register of Controlled Trials databases to identify randomized contr...

    journal_title:Annals of intensive care

    pub_type: 杂志文章

    doi:10.1186/s13613-015-0073-9

    authors: Choi EY,Park DA,Kim HJ,Park J

    更新日期:2015-12-01 00:00:00

  • Effect on comfort of administering bubble-humidified or dry oxygen: the Oxyrea non-inferiority randomized study.

    abstract:BACKGROUND:The clinical interest of using bubble humidification of oxygen remains controversial. This study was designed to further explore whether delivering dry oxygen instead of bubble-moistened oxygen had an impact on discomfort of ICU patients. METHODS:This randomized multicenter non-inferiority open trial includ...

    journal_title:Annals of intensive care

    pub_type: 杂志文章

    doi:10.1186/s13613-018-0472-9

    authors: Poiroux L,Piquilloud L,Seegers V,Le Roy C,Colonval K,Agasse C,Zinzoni V,Hodebert V,Cambonie A,Saletes J,Bourgeon I,Beloncle F,Mercat A,REVA Network.

    更新日期:2018-12-17 00:00:00

  • Early mechanical ventilation in patients with Guillain-Barré syndrome at high risk of respiratory failure: a randomized trial.

    abstract:INTRODUCTION:About 30% of patients with Guillain-Barré syndrome become ventilator dependent, of whom roughly 75% develop pneumonia. This trial aimed at assessing the impact of early mechanical ventilation (EMV) on pneumonia occurrence in GBS patients. We hypothesize that EMV will reduce the incidence of pneumonia. MET...

    journal_title:Annals of intensive care

    pub_type: 杂志文章

    doi:10.1186/s13613-020-00742-z

    authors: Melone MA,Heming N,Meng P,Mompoint D,Aboab J,Clair B,Salomon J,Sharshar T,Orlikowski D,Chevret S,Annane D

    更新日期:2020-09-30 00:00:00

  • Relation between presence of extended-spectrum β-lactamase-producing Enterobacteriaceae in systematic rectal swabs and respiratory tract specimens in ICU patients.

    abstract:BACKGROUND:The choice of empirical antimicrobial therapy for pneumonia in intensive care unit (ICU) is a challenge, since pneumonia is often related to multidrug-resistant pathogens, particularly extended-spectrum β-lactamase-producing Enterobacteriaceae (ESBL-E). To prevent the overuse of broad-spectrum antimicrobial ...

    journal_title:Annals of intensive care

    pub_type: 杂志文章

    doi:10.1186/s13613-017-0237-x

    authors: Carbonne H,Le Dorze M,Bourrel AS,Poupet H,Poyart C,Cambau E,Mira JP,Charpentier J,Amarsy R

    更新日期:2017-12-01 00:00:00

  • Evaluation of least significant changes of pulse contour analysis-derived parameters.

    abstract:BACKGROUND:Many maneuvers assessing fluid responsiveness (minifluid challenge, lung recruitment maneuver, end-expiratory occlusion test, passive leg raising) are considered as positive when small variations in cardiac index, stroke volume index, stroke volume variation or pulse pressure variation occur. Pulse contour a...

    journal_title:Annals of intensive care

    pub_type: 杂志文章

    doi:10.1186/s13613-019-0590-z

    authors: de Courson H,Ferrer L,Cane G,Verchère E,Sesay M,Nouette-Gaulain K,Biais M

    更新日期:2019-10-11 00:00:00

  • Transpulmonary pressures in obese and non-obese COVID-19 ARDS.

    abstract:BACKGROUND:Data on respiratory mechanics of COVID-19 ARDS patients are scarce. Respiratory mechanics and response to positive expiratory pressure (PEEP) may be different in obese and non-obese patients. METHODS:We investigated esophageal pressure allowing determination of transpulmonary pressures (PL ) and elastances ...

    journal_title:Annals of intensive care

    pub_type: 信件

    doi:10.1186/s13613-020-00745-w

    authors: Mezidi M,Daviet F,Chabert P,Hraiech S,Bitker L,Forel JM,Yonis H,Gragueb I,Dhelft F,Papazian L,Richard JC,Guervilly C

    更新日期:2020-10-01 00:00:00

  • Design and implementation of the START (STem cells for ARDS Treatment) trial, a phase 1/2 trial of human mesenchymal stem/stromal cells for the treatment of moderate-severe acute respiratory distress syndrome.

    abstract:BACKGROUND:Despite advances in supportive care, moderate-severe acute respiratory distress syndrome (ARDS) is associated with high mortality rates, and novel therapies to treat this condition are needed. Compelling pre-clinical data from mouse, rat, sheep and ex vivo perfused human lung models support the use of human ...

    journal_title:Annals of intensive care

    pub_type: 杂志文章

    doi:10.1186/s13613-014-0022-z

    authors: Liu KD,Wilson JG,Zhuo H,Caballero L,McMillan ML,Fang X,Cosgrove K,Calfee CS,Lee JW,Kangelaris KN,Gotts JE,Rogers AJ,Levitt JE,Wiener-Kronish JP,Delucchi KL,Leavitt AD,McKenna DH,Thompson BT,Matthay MA

    更新日期:2014-07-03 00:00:00

  • Extracorporeal membrane oxygenation for severe Middle East respiratory syndrome coronavirus.

    abstract:BACKGROUND:Middle East respiratory syndrome (MERS) is caused by a coronavirus (MERS-CoV) and is characterized by hypoxemic respiratory failure. The objective of this study is to compare the outcomes of MERS-CoV patients before and after the availability of extracorporeal membrane oxygenation (ECMO) as a rescue therapy ...

    journal_title:Annals of intensive care

    pub_type: 杂志文章

    doi:10.1186/s13613-017-0350-x

    authors: Alshahrani MS,Sindi A,Alshamsi F,Al-Omari A,El Tahan M,Alahmadi B,Zein A,Khatani N,Al-Hameed F,Alamri S,Abdelzaher M,Alghamdi A,Alfousan F,Tash A,Tashkandi W,Alraddadi R,Lewis K,Badawee M,Arabi YM,Fan E,Alhazzani

    更新日期:2018-01-10 00:00:00

  • Specific antioxidant properties of human serum albumin.

    abstract:: Human serum albumin (HSA) has been used for a long time as a resuscitation fluid in critically ill patients. It is known to exert several important physiological and pharmacological functions. Among them, the antioxidant properties seem to be of paramount importance as they may be implied in the potential beneficial ...

    journal_title:Annals of intensive care

    pub_type: 杂志文章

    doi:10.1186/2110-5820-3-4

    authors: Taverna M,Marie AL,Mira JP,Guidet B

    更新日期:2013-02-15 00:00:00

  • Epidemiology, clinical characteristics, and outcome of candidemia in critically ill patients in Germany: a single-center retrospective 10-year analysis.

    abstract:BACKGROUND:Despite advances in the management of bloodstream infections (BSI) caused by Candida spp., the mortality still remains high in critically ill patients. The worldwide epidemiology of yeast-related BSI is subject to changing species distribution and resistance patterns, challenging antifungal treatment strateg...

    journal_title:Annals of intensive care

    pub_type: 杂志文章

    doi:10.1186/s13613-020-00755-8

    authors: Schroeder M,Weber T,Denker T,Winterland S,Wichmann D,Rohde H,Ozga AK,Fischer M,Kluge S

    更新日期:2020-10-16 00:00:00

  • Driving pressure and long-term outcomes in moderate/severe acute respiratory distress syndrome.

    abstract:BACKGROUND:Acute respiratory distress syndrome (ARDS) patients may present impaired in lung function and structure after hospital discharge that may be related to mechanical ventilation strategy. The aim of this study was to evaluate the association between functional and structural lung impairment, N-terminal-peptide ...

    journal_title:Annals of intensive care

    pub_type: 杂志文章

    doi:10.1186/s13613-018-0469-4

    authors: Toufen Junior C,De Santis Santiago RR,Hirota AS,Carvalho ARS,Gomes S,Amato MBP,Carvalho CRR

    更新日期:2018-12-07 00:00:00

  • The protective association of endogenous immunoglobulins against sepsis mortality is restricted to patients with moderate organ failure.

    abstract:BACKGROUND:Pre-evaluation of endogenous immunoglobulin levels is a potential strategy to improve the results of intravenous immunoglobulins in sepsis, but more work has to be done to identify those patients who could benefit the most from this treatment. The objective of this study was to evaluate the impact of endogen...

    journal_title:Annals of intensive care

    pub_type: 杂志文章

    doi:10.1186/s13613-017-0268-3

    authors: Martin-Loeches I,Muriel-Bombín A,Ferrer R,Artigas A,Sole-Violan J,Lorente L,Andaluz-Ojeda D,Prina-Mello A,Herrán-Monge R,Suberviola B,Rodriguez-Fernandez A,Merino P,Loza AM,Garcia-Olivares P,Anton E,Tamayo E,Trapiello W,

    更新日期:2017-12-01 00:00:00

  • Lung recruitment: What has computed tomography taught us in the last decade?

    abstract::Although chest X-ray remains a fundamental lung imaging technique, through the years, CT scan has significantly improved our knowledge of the pathophysiological process and currently is the reference lung imaging tool for both a visual and quantitative computer-based analysis. The application of lung CT in the early p...

    journal_title:Annals of intensive care

    pub_type: 社论

    doi:10.1186/s13613-019-0497-8

    authors: Chiumello D,Formenti P,Coppola S

    更新日期:2019-01-22 00:00:00

  • Chronic alcohol exposure, infection, extended circulating white blood cells differentiated by flow cytometry and neutrophil CD64 expression: a prospective, descriptive study of critically ill medical patients.

    abstract:UNLABELLED: BACKGROUND:A history of prolonged and excessive consumption of alcohol increases the risk for infections. The goal of this study was to investigate circulating white blood cells (WBC) differentiated by flow cytometry and neutrophil CD64 expression in excessive alcohol drinkers versus abstinent or moderate ...

    journal_title:Annals of intensive care

    pub_type: 杂志文章

    doi:10.1186/2110-5820-2-50

    authors: Gacouin A,Roussel M,Gros A,Sauvadet E,Uhel F,Chimot L,Marque S,Camus C,Fest T,Le Tulzo Y

    更新日期:2012-12-31 00:00:00

  • Systematic review and literature appraisal on methodology of conducting and reporting critical-care echocardiography studies: a report from the European Society of Intensive Care Medicine PRICES expert panel.

    abstract:BACKGROUND:The echocardiography working group of the European Society of Intensive Care Medicine recognized the need to provide structured guidance for future CCE research methodology and reporting based on a systematic appraisal of the current literature. Here is reported this systematic appraisal. METHODS:We conduct...

    journal_title:Annals of intensive care

    pub_type: 杂志文章,评审

    doi:10.1186/s13613-020-00662-y

    authors: Huang S,Sanfilippo F,Herpain A,Balik M,Chew M,Clau-Terré F,Corredor C,De Backer D,Fletcher N,Geri G,Mekontso-Dessap A,McLean A,Morelli A,Orde S,Petrinic T,Slama M,van der Horst ICC,Vignon P,Mayo P,Vieillard-Baron A

    更新日期:2020-04-25 00:00:00

  • Frequency and prognostic impact of basic critical care echocardiography abnormalities in patients with acute respiratory distress syndrome.

    abstract:BACKGROUND:Among intensive care unit (ICU) patients with acute respiratory distress syndrome (ARDS), apart from acute cor pulmonale (ACP), the frequency and prognostic impact of basic critical care echocardiography (BCCE) abnormalities are not well defined. METHODS:Observational study of patients with ARDS, admitted f...

    journal_title:Annals of intensive care

    pub_type: 杂志文章

    doi:10.1186/s13613-017-0343-9

    authors: See KC,Ng J,Siow WT,Ong V,Phua J

    更新日期:2017-12-19 00:00:00

  • Associations between tricuspid annular plane systolic excursion to reflect right ventricular function and acute kidney injury in critically ill patients: a SICS-I sub-study.

    abstract:BACKGROUND:Acute kidney injury (AKI) occurs in up to 50% of all critically ill patients and hemodynamic abnormalities are assumed to contribute, but their nature and share is still unclear. We explored the associations between hemodynamic variables, including cardiac index and right ventricular function, and the occurr...

    journal_title:Annals of intensive care

    pub_type: 杂志文章

    doi:10.1186/s13613-019-0513-z

    authors: Wiersema R,Koeze J,Hiemstra B,Pettilä V,Perner A,Keus F,van der Horst ICC,SICS Study Group.

    更新日期:2019-03-13 00:00:00

  • Hyperoxia toxicity in septic shock patients according to the Sepsis-3 criteria: a post hoc analysis of the HYPER2S trial.

    abstract:BACKGROUND:Criteria for the Sepsis-3 definition of septic shock include vasopressor treatment to maintain a mean arterial pressure > 65 mmHg and a lactate concentration > 2 mmol/L. The impact of hyperoxia in patients with septic shock using these criteria is unknown. METHODS:A post hoc analysis was performed of the HY...

    journal_title:Annals of intensive care

    pub_type: 杂志文章

    doi:10.1186/s13613-018-0435-1

    authors: Demiselle J,Wepler M,Hartmann C,Radermacher P,Schortgen F,Meziani F,Singer M,Seegers V,Asfar P,HYPER2S investigators.

    更新日期:2018-09-17 00:00:00

  • The impact of critical illness on the expiratory muscles and the diaphragm assessed by ultrasound in mechanical ventilated children.

    abstract:BACKGROUND:Critical illness has detrimental effects on the diaphragm, but the impact of critical illness on other major muscles of the respiratory pump has been largely neglected. This study aimed to determine the impact of critical illness on the most important muscles of the respiratory muscle pump, especially on the...

    journal_title:Annals of intensive care

    pub_type: 杂志文章

    doi:10.1186/s13613-020-00731-2

    authors: IJland MM,Lemson J,van der Hoeven JG,Heunks LMA

    更新日期:2020-08-27 00:00:00

  • Important drug classes associated with potential drug-drug interactions in critically ill patients: highlights for cardiothoracic intensivists.

    abstract:BACKGROUND:Patients in the intensive care unit (ICU) are more prone to drug-drug interactions (DDIs). The software and charts that indicate all interactions may not be proper for clinical usage. This study aimed to identify the main drug classes associated with clinically significant DDIs in cardiothoracic ICU and cate...

    journal_title:Annals of intensive care

    pub_type: 杂志文章

    doi:10.1186/s13613-015-0086-4

    authors: Baniasadi S,Farzanegan B,Alehashem M

    更新日期:2015-12-01 00:00:00

  • Occurrence of marked sepsis-induced immunosuppression in pediatric septic shock: a pilot study.

    abstract:BACKGROUND:While the process of sepsis-induced immunosuppression is now well described in adults, very little information is available on immune functions in pediatric sepsis. The current study investigated this in children with septic shock by performing immunomonitoring, including both innate (monocyte human leukocyt...

    journal_title:Annals of intensive care

    pub_type: 杂志文章

    doi:10.1186/s13613-018-0382-x

    authors: Remy S,Kolev-Descamps K,Gossez M,Venet F,Demaret J,Javouhey E,Monneret G

    更新日期:2018-03-13 00:00:00