Charcoal Hæmoperfusion in Thyroid Storm

Herrmann, Jörg; Rudorff, K.H.; Gockenjan, G.; Königshausen, Th.; Grabensee, B; Krüskemper, H. L.

doi:10.1016/s0140-6736(77)91034-0

Cited by 11 publications

(2 citation statements)

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“…Nevertheless, in our patient, the absolute changes in thyroid hormone levels were not remarkable. It is controversial whether PE adequately decreases serum thyroid hormone concentrations (5–8). Approximately 25% of thyroid hormones are present in the intravascular compartment and each PE session decreases serum FT3 and FT4 concentrations by 30–50% (9).…”

Section: Discussionmentioning

confidence: 99%

Thyroid Storm‐induced Multiple Organ Failure Relieved Quickly by Plasma Exchange Therapy

et al. 2004

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We report a 54-year-old female patient in whom thyroid storm was improved dramatically by plasma exchange. The patient presented with tachycardia, high fever and pulmonary congestion, in addition to left hemiparalysis and dysarthria. Serum thyroid hormone concentrations were markedly increased and computed tomography showed a fresh cerebral infarct, suggesting that she had thyroid storm precipitated by cerebral infarction. As there was no remarkable improvement even after 24 h of conventional therapy, plasma exchange was carried out using fresh frozen plasma. Consequently, her critical condition improved quickly. The half-life of thyroid hormones is so long that quick improvement is not always achieved even by sufficient doses of antithyroid drugs. Thus, plasma exchange in combination with conventional therapy appears to be effective in relieving the life-threatening state in our patient with thyroid storm precipitated by acute cerebral infarction.

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Section: Discussionmentioning

confidence: 99%

Thyroid Storm‐induced Multiple Organ Failure Relieved Quickly by Plasma Exchange Therapy

et al. 2004

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“…Although this survival rate may well be an improvement over previous results using other conservative methods of treatment (18), the most impressive aspect of hemoperfusion in hepatic coma is the capacity of this treatment to reverse the coma. in one patient using the technique (19).…”

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confidence: 99%

Hemoperfusion: Present and Future

Gelfand

1979

Journal of Dialysis

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Hemoperfusion, the direct passage of blood over absorbing materials such as charcoals or resins to remove toxic compounds from the circulatory system, is now undergoing a significant revival of interest as a clinically helpful therapeutic tool. Although long known medically as an anti-flatulant and digestant and useful orally as an "antidote" for a variety of toxic ingestions, charcoals and resins were not used clinically in direct contact with the circulation for extraction of compounds until Yatzidis, et all in 1965 demonstrated its effectiveness in removing barbiturates (1). Unfortunately, DeMytennaere, et all noted potential complications resulting from hemoperfusion since charcoal embolization and destruction of formed elements of the blood occurred in experimental animals (2). Nevertheless, Chang (3, 4) and others persevered to develop the technology to coat charcoal with a variety of substances

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Lithium in the Treatment of Other Psychiatric and Nonpsychiatric Disorders

Schou¹

1979

Arch Gen Psychiatry

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Charcoal Hæmoperfusion in Thyroid Storm

Cited by 11 publications

References 1 publication

Thyroid Storm‐induced Multiple Organ Failure Relieved Quickly by Plasma Exchange Therapy

Thyroid Storm‐induced Multiple Organ Failure Relieved Quickly by Plasma Exchange Therapy

Hemoperfusion: Present and Future

Lithium in the Treatment of Other Psychiatric and Nonpsychiatric Disorders

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