Use of extracorporeal blood purification therapy (ECBPT) as an adjuvant to high-dose corticosteroids in a severely ill COVID-19 patient with concomitant bacterial infection

Min Xian Lim and Kean Khang Fong and Yeap, Boon Tat (2021) Use of extracorporeal blood purification therapy (ECBPT) as an adjuvant to high-dose corticosteroids in a severely ill COVID-19 patient with concomitant bacterial infection. BMJ Case Reports, 14. pp. 1-4. ISSN 1757-​790X

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Use of extracorporeal blood purification therapy (ECBPT) as an adjuvant to high-dose corticosteroids in a severely ill COVID-19 patient with concomitant bacterial infection _ABSTRACT.pdf

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Abstract

COVID-19 presents with a spectrum of severity, ranging from asymptomatic or mild symptoms to those with acute respiratory distress syndrome. Corticosteroids are widely used for their efficacy in reducing inflammatory responses. However, its use may be limited to patients with immunosuppression. An adjunct therapy for cytokine storm in COVID- 19 is extracorporeal blood purification therapies using high adsorptive filters, such as oXiris, to remove cytokines. We share our experience in using continuous renal replacement therapy with oXiris haemofilter as a temporising measure to high- dose corticosteroids in managing cytokine storm in a deteriorating COVID- 19 patient with concomitant bacterial infection.

Item Type: Article
Keyword: Adult intensive care , Anaesthesia , Covid-19
Subjects: R Medicine > RA Public aspects of medicine > RA1-1270 Public aspects of medicine
Department: FACULTY > Faculty of Medicine and Health Sciences
Depositing User: SAFRUDIN BIN DARUN -
Date Deposited: 12 Jul 2022 08:00
Last Modified: 12 Jul 2022 08:00
URI: https://eprints.ums.edu.my/id/eprint/33040

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