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E-raamat: Endotoxemia and Endotoxin Shock: Disease, Diagnosis and Therapy.

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The presence of endotoxin in the bloodstream is the consequence of an immunological response triggered by bacterial invasion of the host. This condition leads to altered cardiovascular function, lung dysfunction and acute kidney injury. Removing as much as possible of the circulating endotoxin is therefore imperative to mitigate its biological and clinical effects at the cellular, tissue and organ levels. The publication at hand summarizes the basic mechanisms, rationale and clinical results of a new therapeutic approach that promises to attain this goal: It consists of a specific hemoperfusion process that utilizes cartridges with immobilized polymixin B in an extracorporeal circuit. Containing contributions by renowned researchers, this book represents as a milestone in the field of extracorporeal therapies in sepsis. It will be a valuable reference work for both basic scientists and clinical professionals who want to keep abreast of current developments.
Preface vii
Ronco, C.
Piccinni, P.
Rosner, M.H.
Endotoxemia: Pathophysiological Background
Endotoxin in the Pathogenesis of Sepsis
1(13)
Marshall, J.C.
Endotoxins and Other Sepsis Triggers
14(11)
Opal, S.M.
Extracorporeal Endotoxin Removal: Theory and Technology
Rationale of Extracorporeal Removal of Endotoxin in Sepsis: Theory, Timing and Technique
25(10)
Ronco, C.
Piccinni, P.
Kellum, J.
Extracorporeal Removal of Endotoxin: The Polymyxin B-Immobilized Fiber Cartridge
35(10)
Tani, T.
Shoji, H.
Guadagni, G.
Perego, A.
Mechanisms of Polymyxin B Endotoxin Removal from Extracorporeal Blood Flow: Molecular Interactions
45(10)
Vesentini, S.
Soncini, M.
Fiore, G.B.
Redaelli, A.
Mechanisms of Polymyxin B Endotoxin Removal from Extracorporeal Blood Flow: Hydrodynamics of Sorption
55(10)
Fiore, G.B.
Soncini, M.
Vesentini, S.
Redaelli, A.
Endotoxin Removal in Septic Shock in Clinical Settings
Endotoxin Removal by Polymyxin B Immobilized Cartridge Inactivates Circulating Proapoptotic Factors
65(12)
Martin, E.L.
Ranieri, V.M.
Polymyxin-B Hemoperfusion and Endotoxin Removal: Lessons from a Review of the Literature
77(6)
Cruz, D.N.
De Cal, M.
Piccinni, P.
Ronco, C.
PMX Endotoxin Removal in the Clinical Practice: Results from the EUPHAS Trial
83(8)
Antonelli, M.
Fumagalli, R.
Cruz, D.N.
Brienza, N.
Giunta, F.
Early Management of Endotoxemia Using the Endotoxin Activity Assay and Polymyxin B-Based Hemoperfusion
91(11)
Novelli, G.
Ferretti, G.
Ruberto, F.
Morabito, V.
Pugliese, F.
Endotoxin Activity Level and Septic Shock: A Possible Role for Specific Anti-Endotoxin Therapy?
102(9)
Monti, G.
Bottiroli, M.
Pizzilli, G.
Minnini, M.
Terzi, V.
Vecchi, I.
Gesu, G.
Brioschi, P.
Vesconi, S.
Casella, G.
Endotoxin Removal: Building the Evidence
Endotoxin Removal: How Far from the Evidence? From EUPHAS to EUPHRATES
111(8)
Rachoin, J.-S.
Foster, D.
Dellinger, R.P.
Endotoxin Removal: How Far from the Evidence? The EUPHAS 2 Project
119(7)
Martin, E.L.
Cruz, D.N.
Monti, G.
Casella, G.
Vesconi, S.
Ranieri, V.M.
Ronco, C.
Antonelli, M.
Author Index 126(1)
Subject Index 127