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10.1177/0391398820961781 http://scihub22266oqcxt.onion/10.1177/0391398820961781 32985328!8041450!32985328     free     free     free Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 265.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 265.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 265.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 265.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 265.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 265.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 265.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Int+J+Artif+Organs 2021 ; 44 (4): 288-294 Nephropedia Template TP {{tp|p=32985328|t=2021. Extracorporeal multiorgan support including CO(2)-removal with the ADVanced Organ Support (ADVOS) system for COVID-19: A case report |pdf=|usr=}}{{32985328}} gab.com Text Extracorporeal multiorgan support including CO(2)-removal with the ADVanced Organ Support (ADVOS) system for COVID-19: A case report JO: Int J Artif Organs http://www.kidney.de/pget.php?&tw=1&pmid=32985328 #FOAvip A substantial part of COVID-19-patients suffers from multi-organ failure (MOF). We report on an 80-year old patient with pulmonary, renal, circulatory, and hepatic failure. We decided against the use of extracorporeal membrane oxygenation (ECMO) due to old age and a SOFA-score of 13. However, the patient was continuously treated with the extracorporeal multi-organ- "ADVanced Organ Support" (ADVOS) device (ADVITOS GmbH, Munich, Germany). During eight 24h-treatment-sessions blood flow (100-300 mL/min), dialysate flow (160-320 mL/min) and dialysate pH (7.6-9.0) were adapted to optimize arterial PaCO(2) and pH. Effective CO(2) removal and correction of acidosis could be demonstrated by mean arterial- versus post-dialyzer values of pCO(2) (68.7 +/- 13.8 vs. 26.9 +/- 11.6 mmHg; p < 0.001). The CO(2)-elimination rate was 48 +/- 23mL/min. The initial vasopressor requirement could be reduced in parallel to pH-normalization. Interruptions of ADVOS-treatment repeatedly resulted in reversible deteriorations of p(a)CO(2) and pH. After 95 h of continuous extracorporeal decarboxylating therapy the patient had markedly improved circulatory parameters compared to baseline. In the context of secondary pulmonary infection and progressive liver failure, the patient had a sudden cardiac arrest. In accordance with the presumed patient will, we decided against mechanical resuscitation. Irrespective of the outcome we conclude that extracorporeal CO(2) removal and multiorgan-support were feasible in this COVID-19-patient. Combined and less invasive approaches such as ADVOS might be considered in old-age-COVID-19 patients with MOF. Twit Text FOAVip Extracorporeal multiorgan support including CO(2)-removal with the ADVanced Organ Support (ADVOS) system for COVID-19: A case report ????Int J Artif Organs http://www.kidney.de/pget.php?&tw=1&pmid=32985328 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=32985328 #FOAvip English Wikipedia <ref>{{Cite pmid|32985328}}</ref> Extracorporeal multiorgan support including CO(2)-removal with the ADVanced Organ Support (ADVOS) system for COVID-19: A case report #MMPMID32985328 Huber W; Lorenz G; Heilmaier M; Bottcher K; Sahm P; Middelhoff M; Ritzer B; Schulz D; Bekka E; Hesse F; Poszler A; Geisler F; Spinner C; Schmid RM; Lahmer T Int J Artif Organs 2021[Apr]; 44 (4): 288-294 PMID32985328show ga A substantial part of COVID-19-patients suffers from multi-organ failure (MOF). We report on an 80-year old patient with pulmonary, renal, circulatory, and hepatic failure. We decided against the use of extracorporeal membrane oxygenation (ECMO) due to old age and a SOFA-score of 13. However, the patient was continuously treated with the extracorporeal multi-organ- "ADVanced Organ Support" (ADVOS) device (ADVITOS GmbH, Munich, Germany). During eight 24h-treatment-sessions blood flow (100-300 mL/min), dialysate flow (160-320 mL/min) and dialysate pH (7.6-9.0) were adapted to optimize arterial PaCO(2) and pH. Effective CO(2) removal and correction of acidosis could be demonstrated by mean arterial- versus post-dialyzer values of pCO(2) (68.7 +/- 13.8 vs. 26.9 +/- 11.6 mmHg; p < 0.001). The CO(2)-elimination rate was 48 +/- 23mL/min. The initial vasopressor requirement could be reduced in parallel to pH-normalization. Interruptions of ADVOS-treatment repeatedly resulted in reversible deteriorations of p(a)CO(2) and pH. After 95 h of continuous extracorporeal decarboxylating therapy the patient had markedly improved circulatory parameters compared to baseline. In the context of secondary pulmonary infection and progressive liver failure, the patient had a sudden cardiac arrest. In accordance with the presumed patient will, we decided against mechanical resuscitation. Irrespective of the outcome we conclude that extracorporeal CO(2) removal and multiorgan-support were feasible in this COVID-19-patient. Combined and less invasive approaches such as ADVOS might be considered in old-age-COVID-19 patients with MOF. |Aged, 80 and over[MESH] |COVID-19/blood/*therapy[MESH] |Carbon Dioxide/blood[MESH] |Extracorporeal Circulation/*methods[MESH] |Humans[MESH]Extracorporeal multiorgan support including CO(2)-removal with the ADV(epmc).pdf DeepDyve Pubget Overpricing