Targeted high volume hemofiltration could avoid extracorporeal membrane oxygenation in some patients with severe Hantavirus cardiopulmonary syndrome Article Swipe
René López
,
Rodrigo Pérez‐Araos
,
Álvaro Ortiz de Salazar
,
Mauricio Espinoza
,
Cecilia Vial
,
Analía Cuiza
,
Pablo Vial
,
Jerónimo Graf
·
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.1002/jmv.26930
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.1002/jmv.26930
Background Hantavirus cardiopulmonary syndrome (HCPS) has a high lethality. Severe cases may be rescued by venoarterial extracorporeal membrane oxygenation (VA ECMO), alongside substantial complications. High volume hemofiltration (HVHF) is a depurative technique that provides homeostatic balance allowing hemodynamic stabilization in some critically ill patients. Methods We implemented HVHF before VA ECMO consideration in the last five severe HCPS patients requiring mechanical ventilation and vasoactive drugs admitted to our intensive care unit. Patients were considered HVHF‐responders if VA ECMO was avoided and HVHF‐nonresponders if VA ECMO support was needed despite HVHF. A targeted‐HVHF strategy compounded by aggressive hyperoncotic albumin, sodium bicarbonate, and calcium supplementation plus ultrafiltration to avoid fluid overload was implemented on three patients. Results Patients had maximum serum lactate of 8.8 (8.7–12.8) mmol/L and a lowest cardiac index of 1.8 (1.8–1.9) L/min/m 2 . The first two required VA ECMO. They were connected later to HVHF, displayed progressive tachycardia and declining stroke volume. The opposite was true for HVHF‐responders who received targeted‐HVHF. All patients survived, but one of the VA ECMO patients suffered a vascular complication. Conclusion HVHF may contribute to support severe HCPS patients avoiding the need for VA ECMO in some. Early connection and targeted‐HVHF may increase the chance of success.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1002/jmv.26930
- OA Status
- hybrid
- Cited By
- 8
- References
- 52
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3134081174
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W3134081174Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1002/jmv.26930Digital Object Identifier
- Title
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Targeted high volume hemofiltration could avoid extracorporeal membrane oxygenation in some patients with severe Hantavirus cardiopulmonary syndromeWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2021Year of publication
- Publication date
-
2021-03-12Full publication date if available
- Authors
-
René López, Rodrigo Pérez‐Araos, Álvaro Ortiz de Salazar, Mauricio Espinoza, Cecilia Vial, Analía Cuiza, Pablo Vial, Jerónimo GrafList of authors in order
- Landing page
-
https://doi.org/10.1002/jmv.26930Publisher landing page
- Open access
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YesWhether a free full text is available
- OA status
-
hybridOpen access status per OpenAlex
- OA URL
-
https://doi.org/10.1002/jmv.26930Direct OA link when available
- Concepts
-
Hemofiltration, Extracorporeal membrane oxygenation, Medicine, Anesthesia, Intensive care unit, Surgery, Intensive care medicine, HemodialysisTop concepts (fields/topics) attached by OpenAlex
- Cited by
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8Total citation count in OpenAlex
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2025: 3, 2024: 1, 2023: 3, 2021: 1Per-year citation counts (last 5 years)
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52Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.displayed | 148 |
| abstract_inverted_index.intensive | 69 |
| abstract_inverted_index.patients. | 44, 114 |
| abstract_inverted_index.requiring | 60 |
| abstract_inverted_index.survived, | 166 |
| abstract_inverted_index.technique | 32 |
| abstract_inverted_index.Background | 1 |
| abstract_inverted_index.Conclusion | 178 |
| abstract_inverted_index.Hantavirus | 2 |
| abstract_inverted_index.aggressive | 96 |
| abstract_inverted_index.compounded | 94 |
| abstract_inverted_index.connection | 196 |
| abstract_inverted_index.considered | 74 |
| abstract_inverted_index.contribute | 181 |
| abstract_inverted_index.critically | 42 |
| abstract_inverted_index.depurative | 31 |
| abstract_inverted_index.lethality. | 9 |
| abstract_inverted_index.mechanical | 61 |
| abstract_inverted_index.vasoactive | 64 |
| abstract_inverted_index.(1.8–1.9) | 132 |
| abstract_inverted_index.hemodynamic | 38 |
| abstract_inverted_index.homeostatic | 35 |
| abstract_inverted_index.implemented | 47, 111 |
| abstract_inverted_index.oxygenation | 19 |
| abstract_inverted_index.progressive | 149 |
| abstract_inverted_index.substantial | 23 |
| abstract_inverted_index.tachycardia | 150 |
| abstract_inverted_index.ventilation | 62 |
| abstract_inverted_index.(8.7–12.8) | 123 |
| abstract_inverted_index.bicarbonate, | 100 |
| abstract_inverted_index.hyperoncotic | 97 |
| abstract_inverted_index.venoarterial | 16 |
| abstract_inverted_index.complication. | 177 |
| abstract_inverted_index.consideration | 52 |
| abstract_inverted_index.stabilization | 39 |
| abstract_inverted_index.complications. | 24 |
| abstract_inverted_index.extracorporeal | 17 |
| abstract_inverted_index.hemofiltration | 27 |
| abstract_inverted_index.cardiopulmonary | 3 |
| abstract_inverted_index.supplementation | 103 |
| abstract_inverted_index.targeted‐HVHF | 92, 198 |
| abstract_inverted_index.ultrafiltration | 105 |
| abstract_inverted_index.targeted‐HVHF. | 163 |
| abstract_inverted_index.HVHF‐responders | 75, 160 |
| abstract_inverted_index.HVHF‐nonresponders | 82 |
| cited_by_percentile_year.max | 97 |
| cited_by_percentile_year.min | 89 |
| corresponding_author_ids | https://openalex.org/A5054575897 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 8 |
| corresponding_institution_ids | https://openalex.org/I133599470, https://openalex.org/I2801797538 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.8500000238418579 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.60033167 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |