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, Wydział Lekarski : Zakład Dydaktyki Medycznej |
type: |
journal article |
subtype: |
academic paper |
punktacja MEiN [2013 B]: 6