Clinical review: extracorporeal blood purification in severe sepsis.

Abstract:

:Sepsis and septic shock are the leading causes of acute renal failure, multiple organ system dysfunction, and death in the intensive care unit. The pathogenesis of sepsis is complex and comprises a mosaic of interconnected pathways. Several attempts to improve patient outcomes by targeting specific components of this network have been unsuccessful. For these reasons, the ideal immunomodulating strategy would be one that restores immunologic stability rather than blindly inhibiting or stimulating one or another component of this complex network. Hence, the recent focus of immunomodulatory therapy in sepsis has shifted to nonspecific methods of influencing the entire inflammatory response without suppressing it. Here, we discuss the various modalities of extracorporeal blood purification, the existing evidence, and future prospects.

journal_name

Crit Care

authors

Venkataraman R,Subramanian S,Kellum JA

doi

10.1186/cc1889

keywords:

subject

Has Abstract

pub_date

2003-04-01 00:00:00

pages

139-45

issue

2

eissn

1364-8535

issn

1466-609X

journal_volume

7

pub_type

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