Email this article THE HEMOFILTRATION AT INFUSION THERAPY OF SEVERE ACUTE PANCREATITIS
- Authors: Ganert A.N.1, Kokorev E.V1, Zhbannikov P.S1, Zabusov A.V1
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Affiliations:
- “The Yaroslavl State Medical University” of the Ministry of Health of the Russian Federation
- Issue: Vol 24, No 3 (2018)
- Pages: 120-123
- Section: Articles
- URL: https://journal-vniispk.ru/0869-2106/article/view/38431
- DOI: https://doi.org/10.18821/0869-2106-2018-24-3-120-123
- ID: 38431
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Abstract
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.
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##article.viewOnOriginalSite##About the authors
Andrey N. 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. V Kokorev
“The Yaroslavl State Medical University” of the Ministry of Health of the Russian Federation150000, Yaroslavl, Russian Federation
P. S Zhbannikov
“The Yaroslavl State Medical University” of the Ministry of Health of the Russian Federation150000, Yaroslavl, Russian Federation
A. V Zabusov
“The Yaroslavl State Medical University” of the Ministry of Health of the Russian Federation150000, Yaroslavl, Russian Federation
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