Hemodiafiltración y eliminación extracorpórea de CO2 en un paciente con compromiso pulmonar y renal por sepsis: reporte de caso

Abstract

Acute respiratory distress syndrome (ARDS) is characterized by acute hypoxemic respiratory failure and is associated with unfavorable clinical outcomes. It is closely related to acute kidney injury by different mechanisms, including biotrauma. In patients with sepsis, it is common to find these two entities, so pulmonary and renal support strategies have emerged. Here we present the case of a 54-year-old male patient, postoperative appendectomy who as a complication developed aspiration pneumonia, septic shock, acute kidney injury and ARDS, as support measures required the combination of extracorporeal CO₂ removal and continuous renal replacement therapy, achieving protective ventilation parameters and progressive resolution of multiple organ dysfunction.