Challenges in the use of the CytoSorb® adsorber in an intensive care patient with liver dysfunction of unknown origin: a case report

The report focuses on two main aspects regarding a safe and sufficient usage of CytoSorb<sup>®</sup> in the intensive care medicine. First, shortened changing periods increase the elimination rate of the adsorber, which is quickly saturated by bigger molecules, for example, bile acids. Second, additional vancomycin dosing during CytoSorb<sup>®</sup> application avoids under dosing since CytoSorb<sup>®</sup> eliminates vancomycin.

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Publication Details

Journal
Journal of Medical Case Reports
Published
2025-09-08
DOI
https://doi.org/10.1186/s13256-025-05503-9
Primary Topic
Potassium and Related Disorders
Type
article
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article

Challenges in the use of the CytoSorb® adsorber in an intensive care patient with liver dysfunction of unknown origin: a case report

Michael Irlbeck, Caroline Gräfe, Helen Graf, Christina Scharf et al.
Journal of Medical Case Reports
Potassium and Related Disorders
article

Challenges in the use of the CytoSorb® adsorber in an intensive care patient with liver dysfunction of unknown origin: a case report

Michael Irlbeck, Caroline Gräfe, Helen Graf, Christina Scharf, Michael Paal, Uwe Liebchen
article en

Abstract

The report focuses on two main aspects regarding a safe and sufficient usage of CytoSorb<sup>®</sup> in the intensive care medicine. First, shortened changing periods increase the elimination rate of the adsorber, which is quickly saturated by bigger molecules, for example, bile acids. Second, additional vancomycin dosing during CytoSorb<sup>®</sup> application avoids under dosing since CytoSorb<sup>®</sup> eliminates vancomycin.

Journal of Medical Case ReportsVol. 19(1)
LMU Klinikum (DE), Ludwig-Maximilians-Universität München (DE)
Openalex Percentile: Top 65%
Potassium and Related Disorders
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