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[Expert consensus on special blood purification technics in patients with corona virus disease 2019]

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    Zhonghua Nei Ke Za Zhi
    |June 11, 2020
    PubMed

    Insights

    Cytokine storm syndrome is a key factor in severe COVID-19. This expert consensus guides the use of blood purification techniques for critical COVID-19 patients experiencing cytokine storms.

    Area of Science:

    • Critical care medicine
    • Nephrology
    • Infectious diseases

    Background:

    • COVID-19 has caused high mortality, particularly in severe cases.
    • Cytokine storm syndrome is a major driver of severe and critical COVID-19 illness.
    • National guidelines suggest blood purification for critical COVID-19 patients with cytokine storms.

    Purpose of the Study:

    • To provide guidance on the clinical application of blood purification.
    • To standardize the use of blood purification methods for severe COVID-19.
    • To address the management of cytokine storm syndrome in critical COVID-19 patients.

    Main Methods:

    • Expert consensus development.
    • Review of diagnosis and treatment schemes for COVID-19.
    • Inclusion of various blood purification techniques (plasma exchange, adsorption, hemoperfusion, hemofiltration, plasmafiltration).

    Main Results:

    • Blood purification methods are recommended for critical COVID-19 patients with cytokine storm syndrome.
    • Standardized protocols are needed for effective clinical application.
    • The consensus aims to improve outcomes for severe COVID-19 cases.

    Conclusions:

    • Blood purification is a viable treatment option for severe COVID-19.
    • Standardization of blood purification techniques is crucial for critical care.
    • This consensus supports nephrology's role in managing COVID-19 complications.

    Keywords:
    Blood purificationsContinues renal replacement therapyCorona virus disease 2019Cytokine adsorptionPlasma exchange

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