SciELO - Scientific Electronic Library Online

 
vol.30 número2Relación de la diferencia de presión venoarterial de dióxido de carbono sobre contenido arteriovenoso de oxígeno (∆PCO2/Ca-vO2) versus lactato como marcadores pronóstico en pacientes en estado de choqueGlicocálix. Una estructura a considerar en el enfermo grave índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Revista

Articulo

Indicadores

Links relacionados

  • No hay artículos similaresSimilares en SciELO

Compartir


Medicina crítica (Colegio Mexicano de Medicina Crítica)

versión impresa ISSN 2448-8909

Resumen

ENRIQUEZ VIDAL, Alejandro; HERNANDEZ CORTES, Christopher; CARRILLO RAMIREZ, Silvia Del Carmen  y  ESPONDA PRADO, Juan Gerardo. Use of immununoglobulin in septic shock. A retrospective study of cohort in the Intensive Care Unit in the Hospital Ángeles Pedregal. Med. crít. (Col. Mex. Med. Crít.) [online]. 2016, vol.30, n.2, pp.127-129.  Epub 30-Ago-2021. ISSN 2448-8909.

Introduction:

The use of immunoglobulins as adjunctive therapy in septic shock becomes a therapeutic option as an immunomodulator, and as a blocking mechanism of apoptosis.

Method:

We reviewed retrospectively, patient’s charts with the diagnosis of septic shock on admission to the ICU, from August 1, 2014 to July 31, 2015. Two groups were formed, one with immunoglobulin as an adjuvant. We sought to measure the statistical survival through Kaplan-Meier analysis comparing its significance with Mantel-Cox.

Results:

The cohort was formed of 18 patients diagnosed with septic shock. Both groups were formed with 9 patients each. Group 1 (immunoglobulin): had a mortality of 22% with a median of survival of 15 days compared to the Group 2 (no immunoglobulin): mortality of 55% with a median of 8 days, with a statistically significant difference (p = 0.004).

Conclusions:

Our study showed that there was an increase in survival in patients receiving immunoglobulin compared to those without it. However, we believe that more prospective randomized trials should be made to recommend its use.

Palabras llave : Immunoglobulin; septic shock; immunomodulation.

        · resumen en Español     · texto en Español     · Español ( pdf )