THE HEMOFILTRATION AT INFUSION THERAPY OF SEVERE ACUTE PANCREATITIS


如何引用文章

全文:

详细

The 64 patients with severe acute pancreatitis at admission in hospital arterial hypertension, low venous saturation of oxygen (ScvO2), hyperlactemia, oligoanuria and hypercreatininemia were observed. This occurrence became an indication for infusion therapy to recover and optimize hemodynamics. After 6 hours of therapy, 30 patients were lacked increasing of diuresis related to infusion load and hypercreatininemia increased and also significantly increased positive fluid balance s compared to other patients. These 30 patients were additionally applied hemofiltration during 66 hours. The infusion therapy was characterized by difficulty of restoration and optimization of hemodynamic, large volumes of infusion mediums та frequent application of sympathomimetics. In patients without hemofiltration a significant increasing of cumulative fluid balance was added. The hemofiltration permitted to normalize diuresis, to prevent surplus cumulation of fluid and to support blood circulation at the optimal level.

作者简介

Andrey Ganert

“The Yaroslavl State Medical University” of the Ministry of Health of the Russian Federation

Email: anest08@mail.ru
candidate of medical sciences, associate professor of the Chair of Anesthesiology and Reanimation “The Yaroslavl State Medical University”, 150000, Yaroslavl, Russian Federation 150000, Yaroslavl, Russian Federation

E. Kokorev

“The Yaroslavl State Medical University” of the Ministry of Health of the Russian Federation

150000, Yaroslavl, Russian Federation

P. Zhbannikov

“The Yaroslavl State Medical University” of the Ministry of Health of the Russian Federation

150000, Yaroslavl, Russian Federation

A. Zabusov

“The Yaroslavl State Medical University” of the Ministry of Health of the Russian Federation

150000, Yaroslavl, Russian Federation

参考

  1. Banks P., Bollen T., Dervenis C., Gooszen H.G., Johnson C.D., Sarr M.G. et al. Classification of acute pancreatitis 2012: revision of the Atlanta classification and definitions by international consensus. Gut. 2013; 62(1): 102-11.
  2. Zerem E. Treatment of severe acute pancreatitis and its complications. World J. Gastroenterol. 2014; 20(38): 13879-92.
  3. Свиридов С.В., Гафоров Д.А., Бакушин В.С. Тактика инфузионной терапии у больных с острым панкреатитом. Российский медицинский журнал. 2011; 17(3): 51-4
  4. Aggarwal A., Manrai M., Kochhar R. Fluid resuscitation in acute pancreatitis. World J. Gastroenterol. 2014; 20(48): 18092-103.
  5. Mao E., Tang Y., Fei J., Qin S., Wu J., Li L., et al. Fluid therapy for severe acute pancreatitis in acute response stage. Chin. Med. J. (Engl). 2009; 122(2): 169-73.
  6. Weitz G., Woitalla J., Wellhöner P., Schmidt K., Büning J., Fellermann K. Detrimental effect of high volume fluid administration in acute pancreatitis - a retrospective analysis of 391 patients. Pancreatology. 2014; 14(6): 478-83.
  7. Godin M., Bouchard J., Mehta R. Fluid balance in patients with acute kidney injury: emerging concepts. Nephron. Clin. Pract. 2013; 123(3-4): 238-45.
  8. Payen D., de Pont A.C., Sakr Y., Spies C., Reinhart K., Vincent J.L. A positive fluid balance is associated with a worse outcome in patients with acute renal failure. Crit. Care. 2008; 12(3): R74.
  9. Cordemans C., De Laet I., Van Regenmortel N., Schoonheydt K., Dits H., Martin G. et al. Aiming for a negative fluid balance in patients with acute lung injury and increased intra-abdominal pressure: a pilot study looking at the effects of PAL-treatment. Ann. Intensive Care. 2012; 2(Suppl. 1): S15.
  10. Pupelis G., Plaudis H., Zeiza K., Drozdova N., Mukans M., Kazaka I. Early continuous veno-venous haemofiltration in the management of severe acute pancreatitis complicated with intra-abdominal hypertension: retrospective review of 10 years’ experience. Ann. Intensive Care. 2012; 2(Suppl. 1): S21.
  11. Xu J., Cui Y., Tian X. Early continuous veno-venous hemofiltration is effective in decreasing intra-abdominal pressure and serum interleukin-8 level in severe acute pancreatitis patients with abdominal compartment syndrome. Blood Purif. 2017; 44(4): 276-82.
  12. Bortolotti P., Saulnier F., Colling D., Redheuil A., Preau S. New tools for optimizing fluid resuscitation in acute pancreatitis. World J. Gastroenterol. 2014; 20(43): 16 113-22.
  13. Boyd J., Forbes J., Nakada T.A., Walley K.R., Russell J.A. Fluid resuscitation in septic shock: a positive fluid balance and elevated central venous pressure are associated with increased mortality. Crit. Care Med. 2011; 39(2): 259-65.
  14. Md Ralib A., Pickering J., Shaw G., Endre Z.H. The urine output definition of acute kidney injury is too liberal. Crit. Care. 2013; 17(3): R112.
  15. Vincent J.L., Sakr Y., Sprung C.L., Ranieri V.M., Reinhart K., Gerlach H. et al. Sepsis in European intensive care units: results of the SOAP study. Crit. Care Med. 2006; 34(2): 344-53.

版权所有 © Eco-Vector, 2018


 


##common.cookie##