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Title: The use of selected extracorporeal techniques in life-theratening conditions in the intensive care unit

Abstract:

Introduction. With a continuous development of medical technologies, extracorporeal techniques are increasingly used in situations in which other treatments are ineffective. This work includes publications on the application of selected extracorporeal techniques in patients with life-threatening conditions treated in the intensive care unit.Aim of the study. The aim of the series of publications was to evaluate the frequency and type of complications related to the use of extracorporeal techniques and therapeutic outcomes with characteristic of diseases in which other therapeutic methods turned out to be unsuccessful as well as indication of possible modifications of techniques when there were complications and indications for the use of two techniques simultaneously.Methods. The study included patients of Anaesthesiology and Intensive Care Unit of 2nd Department of Internal Medicine of Jagiellonian University Medical College in Krakow, who were treated with therapeutic plasma exchange, extracorporeal blood oxygenation and continuous renal replacement therapy in years 2006-2013. The retrospective, observational research included methods of descriptive statistical analysis and case studies.Results and conclusions. The use of plasmapheresis in the treatment of diseases in the intensive care unit is an effective method and life-threatening complications occur in 2.16 % of treatments. Implementation of therapeutic plasma exchange with comprehensive therapy and supportive care for the treatment of severe, life-threatening toxic epidermal necrolysis, brings good therapeutic effects. As a consequence of this work TEN was for the first time included in plasmapheresis treatment guidelines recommended by the ASFA society (report from 2013).Superior vena cava cannulation of the left internal jugular vein is an effective and safe alternative for the return of oxygenated blood from the ECMO circuit when complications and anomalies in the venous system occur.The safest way to connect ECMO and CRRT circuits appear to be the use of ports on the oxygenator ECMO circuit what allows to reduce the invasiveness of the treatment and provides effective support for the patient with organ failure.

Place of publishing:

Kraków

Level of degree:

2 - studia doktoranckie

Degree grantor:

Uniwersytet Jagielloński. Collegium Medicum. Wydział Nauk o Zdrowiu.

Promoter:

Wojciech Szczeklik

Date issued:

2015

Format:

application/pdf

Identifier:

oai:dl.cm-uj.krakow.pl:4067

Call number:

ZB-124235

ControlNumberVIRTUA:

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Language:

pol ; eng

Access rights:

tylko w bibliotece

Location of original object:

Biblioteka Medyczna Uniwersytetu Jagiellońskiego- Collegium Medicum

Object collections:

Last modified:

May 24, 2021

In our library since:

Apr 13, 2016

Number of object content hits:

9

Number of object content views in PDF format

9

All available object's versions:

http://dl.cm-uj.krakow.pl:8080/publication/4067

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ZB-124235 May 24, 2021
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