Anesteziologiia i reanimatologiia
-
Anesteziol Reanimatol · Nov 1998
Comparative Study[Criteria of systemic inflammatory response syndrome are unacceptable in the diagnosis of sepsis in patients with leukopenia].
Twenty-two patients with hemoblastosis were examined in order to evaluate the possibility of using the criteria of the total system's inflammatory response syndrome (TSIRS) for the diagnosis of sepsis in hemoblastosis patients with leukopenia. The patients were examined before and after chemotherapy. Twelve patients with myelotoxic leukopenia developed TSIRS in response to a concomitant infection. ⋯ The APACHEII score and XIIa-dependent fibrinolysis were in direct correlation. We consider that the TSIRS/sepsis criteria are highly sensitive but not specific. They just permit singling out the group of patients part of whom may have sepsis.
-
Anesteziol Reanimatol · Nov 1998
Comparative Study[Hemodynamics and oxygen transport in patients with surgical sepsis during hemofiltration].
Effects of hemofiltration (HF) on central hemodynamics and oxygen transport are studied in 35 patients with surgical sepsis and multiple organ failure. HF is paralleled by development of hypovolemia and decrease of myocardial contractility, determining a decrease in cardiac output and oxygen transport. As a result, oxygen utilization by tissues decreases and hypoxia progresses. The only compensatory mechanism of oxygen supply in such patients is maintenance of cardiac output, which should be borne in mind when carrying out HF.
-
Anesteziol Reanimatol · Nov 1998
Comparative Study[Complex program of detoxication measures in terminal peritonitis using ozone and hydropressive technologies].
Different methods of ozone therapy and hydropressive technologies were used in the treatment of acute diffuse peritonitis, including hydropressive sanitation of the abdominal cavity, intestinal ozone therapy, etc. These methods brought about many good effects, improving the outcomes for this patient population in general.