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2015 | 09 | 2 |

Tytuł artykułu

Some results of an analysis of polyhydric alcohols effect on detoxication processes

Treść / Zawartość

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
Rheosorbilact action on antitoxic function of the kidneys has been analysed using the values of medium weight molecules in patients with severe sepsis. The study design includes the criteria of inclusion, exclusion and cessation. Patients with pyoceptic complications (mainly surgical abdominal sepsis) with signs of severe endotoxicosis, dopaminergic activity (5-10 mcg/kg min), biochemical criteria of SS (lactate >4 mmole/l, С-reactive protein >2 standard departures from the norm) and other signs of severe sepsis with generalized disorders in homeostasis (assessing the multiple organ damage course by H.Celye-I.A. Yeriuhin scale- 20-27 points, MODS scale – 6-10 points) corresponded to the inclusion criterion. All patients were provided with appropriate debridement and intensive traditional therapy. For control studies we involved patients with systemic inflammatory response syndrome who had 2-3 signs of SIRS in stage A. It was found that rheosorbilact activates the transportation of medium weight molecules out of the extracellular space and increases their excretion by the renal nephrons in patients with severe sepsis. It was established that in severe sepsis rheosorbilact provides a high level of excretion of medium weight molecules by suppressing processes of reabsorption in the proximal nephron portions caused by peptidase dependent metabolism.

Wydawca

-

Rocznik

Tom

09

Numer

2

Opis fizyczny

p.35-38,ref.

Twórcy

autor
  • Department of Anesthesiology and Resuscitation, Bukovinian State Medical University, Chernivtsi, Teatral’na square, 2, Chernivtsi, Ukraine
  • Department of Anesthesiology and Resuscitation, Bukovinian State Medical University, Chernivtsi, Teatral’na square, 2, Chernivtsi, Ukraine

Bibliografia

  • 1. Chang P., Peng S. (2013), Fluid resuscitation strategy in septic shock following urinary infection with severe pulmonary capillary leakage. Zhonghua Wei Zhong Bing Ji Jiu Yi Xue. 2013 Jan;25(1):14-8.
  • 2. Chong J., Dumont T. (2015), Sepsis and septic shock: a review. Crit Care Nurs Q. 38(2):111-20.
  • 3. Dellinger R.P., Levy M.M., Carlet J.M. (2008), Surviving Sepsis Compaign: International guidelines for management of sever sepsis end sepsis shok: 2008, Intesive Care Med. Vol.34(1), 17-60.
  • 4. Dellinger R.P., Levy M.M., Rhodes A. (2013), Surviving Sepsis Campaign: international guidelines for management of severe sepsis and septic shock: 2012, Crit Care Med. Vol. 41, 580-637.
  • 5. Eremenko A.A, Medvedeva L.A. (2013), The efficacy of the rheosorbilact during the cardiovascular surgery. Khirurgiia (Mosk). 2013;(8):59-66.
  • 6. Levy M.M., Fink M.P., Marshall J.C. (2003), 2001 SCCM/ESICM/ACCP/ATS/SIS International sepsis Definitions Conference, Crit Care Med. Vol.31, 1250-1256.
  • 7. Marshall J.C. Reinhart K. (2009), Biomarkers of sepsis, Crit. Care Med. Vol.37, 2290-2298.
  • 8. Mouncey P.R., Osborn T.M. (2015), Trial of early, goal-directed resuscitation for septic shock. N Engl J Med 372 (14): 1301-11.
  • 9. Peirrakos C., Vincent J.L. (2010), Sepsis biomarkers: a review, Crit. Care. Vol.14, R15.
  • 10. Quintero R.A., Martínez C.A. (2015), Adherence to international guidelines on early management in severe sepsis and septic shock. Biomedica. 2012 Sep;32(3):449-56.

Typ dokumentu

Bibliografia

Identyfikatory

Identyfikator YADDA

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