Follow Us:Respiratio 2023, 13, (1-2): 269-272
ULOGA VVECMO I HEMODIJALIZE SA HEMADSORBENSOM U TRETMANU SEPSE I TEŠKE FORME ARDS - PRIKAZ SLUČAJA
THE ROLE OF VVECMO AND HEMODIALYSIS WITH HEMADSORBENS IN THE TREATMENT OF SEPSIS AND SEVERE ARDS - CASE REPORT
Tanja Knežević1, Tomislav Buvač1, Danica Momčičević1,2, 
Biljana Zlojutro1, Saša Dragić1,2, Milka Jandrić1, Jovana Malić1, Peđa Kovačević1,2
1Univerzitetski klinički centar Republike Srpske
2Univerzitet u Banjoj Luci, Medicinski fakultet
Case report
Prikaz slučaja
Sažetak:Prikazan je slučaj pacijenta starosti 34 godine sa razvojem akutnog respiratornog distres sindroma, septičnog stanja i akutne bubrežne insuficijencije. Pacijent je upućen iz OB Prijedor u Urgentni centar UKC RS Banjaluka, te nakon inicijalnog pregleda primljen u Kliniku intenzivne medicine za nehirurške grane. Odmah po prijemu spojen je na neinvazivnu mehaničku ventilaciju (NIV) pri čemu je zahtijevao maksimalne protoke kiseonika, a zbog daljeg pogoršanja respiratornog statusa pacijent je intubiran i kontrolisano mehanički ventiliran. Primjena kontrolisane mehaničke ventilacije nije dovela do poboljšanja razmjene gasova, te se postavi indikacija za veno-vensku ektrakorporalnu membransku oksigenaciju (vvECMO). Po postavljanju na vvECMO dolazi do oporavka plućne funkcije te je bolesnik nakon 8 dana uspješno odvojen od ECMO aparata. Tokom hospitalizacije je zbog sepse i oštećene bubrežne funkcije trebao podršku hemodijalize sa hemadsorbensom.
Ključne riječi:ARDS, sepsa, ABI, VV ECMO, CVVHDF, hemadsorbens, ICU
LITERATURA
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Kontakt osoba:
Tomislav Buvač
Klinika intenzivne medicine za nehirurške grane, UKC RS
E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.
Kontakt telefon: +38765740044