Complications in patients treated with plasmapheresis in the intensive care unit

Complications in patients treated with plasmapheresis in the intensive care unit

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Complications in patients treated with plasmapheresis in the intensive care unit

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punktacja MNiSW [2013 B]: 6

title:	Complications in patients treated with plasmapheresis in the intensive care unit
alternative title:	Powikłania u chorych leczonych metodą plazmaferezy na oddziale intensywnej terapii
author:	Szczeklik Wojciech , Wawrzycka-Adamczyk Katarzyna , Włudarczyk Anna , Sega Aurelia , Nowak-Kózka Ilona , Seczyńska Bożena , Fajfer Izabela, Zając Krzysztof , Królikowski Wiesław , Kózka Maria
journal title:	Anaesthesiology Intensive Therapy
volume:	45
issue:	1
date of publication :	2013
pages:	7-13
ISSN:	1642-5758
eISSN:	1731-2515
URL:	https://www.termedia.pl/Complications-in-patients-treated-with-plasmapheresis-r-nin-the-intensive-care-unit,118,37814,1,1.html
date accessed:	2020-12-21
notes:	Bibliogr. s. 12-13. Wersja pol. publ.: Anestezjologia Intensywna Terapia. 2013;45(1):8-15
language:	English
journal language:	English
abstract in English:	Introduction. Plasmapheresis is one of the methods of extracorporeal blood purification involving the removal of inflammatory mediators and antibodies. The procedure is used in a variety of conditions, including autoimmune diseases. The aim of the present study was to analyse the incidence of plasmapheresis-related complications in patients treated in the intensive care unit (ICU). Methods. The analysis involved 370 plasmapheresis procedures in 54 patients. The data were collected from patients` medical records, including procedure protocols. Results. The most common diseases treated with plasmapheresis included: myasthenia gravis (33.3%), Guillain-Barré syndrome (14%), Lyell’s syndrome (9.3%), systemic lupus erythematosus (7.4%), and thrombotic thromcytopenic purpura (7.4%). The adverse side effects observed most frequently during plasma filtration were: fall in arterial blood pressure (8.4% of all procedures), arrhythmias (3.5%), sensations of cold with temporarily elevated temperature and paresthesias (1.1%, each). In most cases the symptoms were mild and transient. Severe and life-threatening episodes, i.e. shock, fall in arterial blood pressure requiring pressor amines, persistent arrhythmias and haemolysis, developed in 2.16% of procedures. Conclusions. Plasmapheresis can be considered a relatively safe method of treatment of ICU patients. Continuous observation and proper monitoring of patients provided by highly trained medical personnel are essential for its safety.
keywords in English:	plasmapheresis, complications, intensive care
number of pulisher's sheets:	0,79
affiliation:	Wydział Nauk o Zdrowiu : Instytut Pielęgniarstwa i Położnictwa, Wydział Lekarski : Zakład Alergii, Autoimmunizacji i Nadkrzepliwości, Wydział Lekarski : Zakład Anestezjologii i Intensywnej Terapii, Wydział Lekarski : Zakład Intensywnej Terapii i Medycyny Okołozabiegowej, Pion Prorektora ds. Collegium Medicum : Centrum Innowacyjnej Edukacji Medycznej CM
type:	journal article
subtype:	academic paper

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