Endotoxin hemoadsorption in refractory septic shock with multiorgan dysfunction and extreme endotoxin activity

Endotoxin septic shock is marked by severe organ failure and mortality rate that exceeds fifty percent, underscoring the critical need to tailor management strategies. Monitoring -endotoxin activity can guide the initiation and direction of adjunctive treatment for refractory septic shock through he...

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Detalles Bibliográficos
Autores: Ruiz-Rodriguez, Juan Carlos|||0000-0001-7392-8617, Chiscano-Camón, Luis|||0000-0003-0037-0610, Bajaña, Iván, Ruiz-Sanmartin, Adolf, Maldonado, Carolina, González-López, Juanjo|||0000-0003-2419-5909, Larrosa, María Nieves|||0000-0001-8808-0233, Ferrer, Ricard|||0000-0002-4859-4747, Bastidas, Juliana, Nicolás-Morales, Pablo|||0009-0001-3560-829X, Cantenys-Molina, Sergi
Tipo de recurso: artículo
Fecha de publicación:2025
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:dnet:uabarcelona_::99f30847644d355cfeae8546c501f021
Acceso en línea:https://ddd.uab.cat/record/328051
https://dx.doi.org/urn:doi:10.1186/s13054-025-05371-1
Access Level:acceso abierto
Palabra clave:Endotoxin activity
Refractory septic shock
Hemoadsorption
Multiorgan dysfunction
Descripción
Sumario:Endotoxin septic shock is marked by severe organ failure and mortality rate that exceeds fifty percent, underscoring the critical need to tailor management strategies. Monitoring -endotoxin activity can guide the initiation and direction of adjunctive treatment for refractory septic shock through hemoadsorption. Thus, intervening based on the pathophysiological foundation may potentially improve outcomes. This represents a step towards precision medicine in the management of septic shock adjunctive therapies, addressing a knowledge gap in this pathology that remains insufficiently defined. Despite its potential, in the setting of refractory septic shock and multiorgan dysfunction with extreme endotoxin activity (EAA ≥ 0.9), the data about efficacy of endotoxin hemoadsorption is scarce.