The potential role of extracorporeal cytokine removal with CytoSorb® as an adjuvant therapy in Acute Respiratory Distress Syndrome

Dana Tomescu*, Mihai Popescu, Ali Akil, Amir Ahmad Nassiri, Florian Wunderlich-Sperl, Klaus Kogelmann, Zsolt Molnar, Abdulrahman Alharthy, Dimitrios Karakitsos

*Korrespondierende:r Autor:in für diese Arbeit

Publikation: Beitrag in Fachzeitschrift (peer-reviewed)Übersichtsartikel

2 Zitate (Scopus)

Abstract

Management of acute respiratory distress syndrome (ARDS) represents one of the greatest challenges in intensive care and despite all efforts mortality remains high. One common phenotype of ARDS is that of a secondary injury to a dysregulated inflammatory host response resulting in increased capillary congestion, interstitial lung edema, atelectasis, pulmonary embolism, muscle wasting, recurring infectious episodes, and multiple organ failure. In cases of hyperinflammation, immunomodulation by extracorporeal cytokine removal such as the CytoSorb hemoadsorption cartridge could conceptually enhance lung recovery during the early course of the disease. The aim of this narrative review is to summarize the currently available data in this field and to provide an overview of pathophysiology and rationale for the use of CytoSorb hemoadsorption in patients with hyperinflammatory ARDS.

OriginalspracheEnglisch
Seiten (von - bis)605-617
Seitenumfang13
FachzeitschriftInternational Journal of Artificial Organs
Jahrgang46
Ausgabenummer12
DOIs
PublikationsstatusVeröffentlicht - 01 Dez. 2023

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