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Case Report
High-volume hemofiltration and prone ventilation in subarachnoid hemorrhage complicated by severe acute respiratory distress syndrome and refractory septic shock
Rev Bras Ter Intensiva. 2014;26(2):193-199
Abstract
Case ReportHigh-volume hemofiltration and prone ventilation in subarachnoid hemorrhage complicated by severe acute respiratory distress syndrome and refractory septic shock
Rev Bras Ter Intensiva. 2014;26(2):193-199
DOI 10.5935/0103-507X.20140028
- Rodrigo Cornejo,
- Carlos Romero,
- Diego Ugalde,
- Patricio Bustos,
- Gonzalo Diaz,
- Ricardo Galvez,
- Osvaldo Llanos,
- Eduardo Tobar
Views0We report the successful treatment of two patients with aneurismal subarachnoid hemorrhage complicated by severe respiratory failure and refractory septic shock using simultaneous prone position ventilation and high-volume hemofiltration. These rescue therapies allowed the patients to overcome the critical situation without associated complications and with no detrimental effects on the intracranial and cerebral perfusion pressures. Prone position ventilation is now an accepted therapy for severe acute respiratory distress syndrome, and high-volume hemofiltration is a non-conventional hemodynamic support that has several potential mechanisms for improving septic shock. In this manuscript, we briefly review these therapies and the related evidence. When other conventional treatments are insufficient for providing safe limits of oxygenation and perfusion as part of basic neuroprotective care in subarachnoid hemorrhage patients, these rescue therapies should be considered on a case-by-case basis by an experienced critical care team.
Keywords:acute respiratory distress syndromeCase reportsHemofiltration/methodsProne positionRespiration, artificialSeptic shockSubarachnoid hemorrhage/therapySee moreViews0Abstract
Case ReportHigh-volume hemofiltration and prone ventilation in subarachnoid hemorrhage complicated by severe acute respiratory distress syndrome and refractory septic shock
Rev Bras Ter Intensiva. 2014;26(2):193-199
DOI 10.5935/0103-507X.20140028
- Rodrigo Cornejo,
- Carlos Romero,
- Diego Ugalde,
- Patricio Bustos,
- Gonzalo Diaz,
- Ricardo Galvez,
- Osvaldo Llanos,
- Eduardo Tobar
Views0We report the successful treatment of two patients with aneurismal subarachnoid hemorrhage complicated by severe respiratory failure and refractory septic shock using simultaneous prone position ventilation and high-volume hemofiltration. These rescue therapies allowed the patients to overcome the critical situation without associated complications and with no detrimental effects on the intracranial and cerebral perfusion pressures. Prone position ventilation is now an accepted therapy for severe acute respiratory distress syndrome, and high-volume hemofiltration is a non-conventional hemodynamic support that has several potential mechanisms for improving septic shock. In this manuscript, we briefly review these therapies and the related evidence. When other conventional treatments are insufficient for providing safe limits of oxygenation and perfusion as part of basic neuroprotective care in subarachnoid hemorrhage patients, these rescue therapies should be considered on a case-by-case basis by an experienced critical care team.
Keywords:acute respiratory distress syndromeCase reportsHemofiltration/methodsProne positionRespiration, artificialSeptic shockSubarachnoid hemorrhage/therapySee more
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Case reports Child Coronavirus infections COVID-19 Critical care Critical illness Extracorporeal membrane oxygenation Infant, newborn Intensive care Intensive care units Intensive care units, pediatric mechanical ventilation Mortality Physical therapy modalities Prognosis Respiration, artificial Respiratory insufficiency risk factors SARS-CoV-2 Sepsis