Role of replacement fluids in the immediate complications of plasma exchange. French Registry Cooperative Group.

Abstract:

OBJECTIVE:Comparison of side effects (fever shivering and/or allergic reactions, collapse, symptomatic hypocalcaemia) of the different substitution fluids used during therapeutical plasmapheresis. DESIGN:Multicentric retrospective comparative study designed to explore the side effects due to the replacements fluids (albumin alone or associated with dextran 40, modified fluid gelatin, hydroxyethyl starch), and to determine the best combination in patients undergoing plasmapheresis. PATIENTS:46,895 procedures were performed on 5,167 patients between 1990 and 1994. The analysis concerns 33,962 sessions, divided into two groups (group 1: 21,079 sessions from 1990 to 1992 comparing albumin alone versus combined albumin-macromolecules and the different combinations among these, group 2: 12,883 sessions in 1993-1994 comparing albumin alone versus albumin-hydroxyethyl starch). Because of the diversity of the products used, 13,029 sessions were not studied because groups of small sample sizes were formed. MEASUREMENTS AND RESULTS:In group 1, the comparison of albumin + macromolecules with albumin alone, shows the best haemodynamic tolerance, lower frequency of fever shivering and/or allergic reactions in the albumin alone subgroup. On the other hand, hypocalcaemia is significantly higher in this subgroup. The combinations albumin + dextran 40 (but after hapten inhibition) and albumin + hydroxyethyl starch are equivalent. Albumin + modified fluid gelatin is the combination presenting the highest incidence in terms of allergic manifestations. In group 2, albumin + hydroxyethyl starch versus albumin alone, the former is preferable in terms of the three side effects studied. CONCLUSION:The results of this study show a combination of albumin 4% hydroxyethyl starch to replace plasma during plasma exchange to be the method presenting the lowest morbidity and the best cost/effectiveness ratio.

journal_name

Intensive Care Med

journal_title

Intensive care medicine

authors

Korach JM,Berger P,Giraud C,Le Perff-Desman C,Chillet P

doi

10.1007/s001340050595

subject

Has Abstract

pub_date

1998-05-01 00:00:00

pages

452-8

issue

5

eissn

0342-4642

issn

1432-1238

journal_volume

24

pub_type

杂志文章,多中心研究
  • Hemodynamic variables related to outcome in septic shock.

    abstract:OBJECTIVE:To assess the impact of hemodynamic variables on the outcome of critically ill patients in septic shock and to identify the optimal threshold values related to outcome with special reference to continuously monitored mean arterial pressure (MAP) and mixed venous oxygen saturation (SvO2). DESIGN AND SETTING:R...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-005-2688-z

    authors: Varpula M,Tallgren M,Saukkonen K,Voipio-Pulkki LM,Pettilä V

    更新日期:2005-08-01 00:00:00

  • A brief history of tracheostomy and tracheal intubation, from the Bronze Age to the Space Age.

    abstract:OBJECTIVE:To present a concise history of tracheostomy and tracheal intubation for the approximately forty centuries from their earliest description around 2000 BC until the middle of the twentieth century, at which time a proliferation of advances marked the beginning of the modern era of anesthesiology. DATA SOURCES...

    journal_title:Intensive care medicine

    pub_type: 历史文章,杂志文章

    doi:10.1007/s00134-007-0931-5

    authors: Szmuk P,Ezri T,Evron S,Roth Y,Katz J

    更新日期:2008-02-01 00:00:00

  • Rescue therapy with C1-esterase inhibitor concentrate after emergency coronary surgery for failed PTCA.

    abstract::Administration of C1-esterase inhibitor (C1-INH) attenuates myocardial necrosis and sustains normal cardiac performance after myocardial ischemia and reperfusion in animal experiments. We report on our first experience of C1-INH application as rescue therapy in patients undergoing emergency surgical revascularization ...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s001340050629

    authors: Bauernschmitt R,Böhrer H,Hagl S

    更新日期:1998-06-01 00:00:00

  • Total extracorporeal lung assist--a new clinical approach.

    abstract::Total extracorporeal lung assist (ECLA) requires a bypass flow approaching cardiac output. Recirculation of venous blood through the oxygenator is minimized with a veno-right ventricular cannulation technique which separates venous drainage from returned oxygenated blood. A case of posttraumatic ARDS was treated with ...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/BF01691426

    authors: Wetterberg T,Steen S

    更新日期:1991-01-01 00:00:00

  • Meta-regression analysis of high-frequency ventilation vs conventional ventilation in infant respiratory distress syndrome.

    abstract:OBJECTIVE:There is considerable heterogeneity among randomized trials comparing high-frequency ventilation (HFV) with conventional mechanical ventilation (CMV) in premature neonates with respiratory distress syndrome. We investigated what factors explained differences in outcome among these trials. DESIGN:Meta-regress...

    journal_title:Intensive care medicine

    pub_type: 杂志文章,meta分析

    doi:10.1007/s00134-007-0545-y

    authors: Bollen CW,Uiterwaal CS,van Vught AJ

    更新日期:2007-04-01 00:00:00

  • Current management and outcome of tracheobronchial malacia and stenosis presenting to the paediatric intensive care unit.

    abstract:OBJECTIVE:To identify factors associated with mortality and prolonged ventilatory requirements in patients admitted to our paediatric intensive care unit (PICU) with tracheobronchial malacia and stenosis diagnosed by dynamic contrast bronchograms. DESIGN:Retrospective review. SETTING:Tertiary paediatric intensive car...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s001340000822

    authors: Inwald DP,Roebuck D,Elliott MJ,Mok Q

    更新日期:2001-04-01 00:00:00

  • Noninvasive ventilation for treating acute respiratory failure in AIDS patients with Pneumocystis carinii pneumonia.

    abstract:OBJECTIVE:To compare noninvasive positive pressure ventilation (NPPV) vs. invasive mechanical ventilation in AIDS patients with Pneumocystis carinii pneumonia (PCP)-related acute respiratory failure (ARF). DESIGN:A single-center, prospective, case-control trial. SETTING:An ICU of a private tertiary hospital specializ...

    journal_title:Intensive care medicine

    pub_type: 临床试验,杂志文章

    doi:10.1007/s00134-002-1395-2

    authors: Confalonieri M,Calderini E,Terraciano S,Chidini G,Celeste E,Puccio G,Gregoretti C,Meduri GU

    更新日期:2002-09-01 00:00:00

  • Chapter 5. Essential equipment, pharmaceuticals and supplies. Recommendations and standard operating procedures for intensive care unit and hospital preparations for an influenza epidemic or mass disaster.

    abstract:PURPOSE:To provide recommendations and standard operating procedures for intensive care unit and hospital preparations for an influenza pandemic or mass disaster with a specific focus on essential equipment, pharmaceuticals and supplies. METHODS:Based on a literature review and expert opinion, a Delphi process was use...

    journal_title:Intensive care medicine

    pub_type: 指南,杂志文章

    doi:10.1007/s00134-010-1763-2

    authors: Sprung CL,Kesecioglu J,European Society of Intensive Care Medicine's Task Force for intensive care unit triage during an influenza epidemic or mass disaster.

    更新日期:2010-04-01 00:00:00

  • Control of an epidemic spread of a multi-resistant strain of Acinetobacter calcoaceticus in a hospital.

    abstract::The spread of a multi-resistant glucose-acidifying Acinetobacter calcoaceticus strain in a community hospital was studied. After admission of a colonized patient to the hospital the strain was found in clinical specimens from ICU patients and subsequently from several of these patients after transfer to medical wards....

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/BF01058568

    authors: Crombach WH,Dijkshoorn L,van Noort-Klaassen M,Niessen J,van Knippenberg-Gordebeke G

    更新日期:1989-01-01 00:00:00

  • Long-term evaluation of granulocyte-colony stimulating factor on hypoxic-ischemic brain damage in infant rats.

    abstract:PURPOSE:Hypoxia-ischemia (HI), as a major cause of fetal brain damage, has long-lasting neurological implications. Therefore, therapeutic interventions that attenuate the neuropathological outcome of HI while also improving the neurofunctional outcome are of paramount clinical importance. The aim of this study was to i...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-010-1913-6

    authors: Fathali N,Lekic T,Zhang JH,Tang J

    更新日期:2010-09-01 00:00:00

  • Neurodevelopmental, educational and behavioral outcome at 8 years after neonatal ECMO: a nationwide multicenter study.

    abstract:PURPOSE:Reporting neurodevelopmental outcome of 8-year-old children treated with neonatal extracorporeal membrane oxygenation (ECMO). METHODS:In a follow-up study in 135 8-year-old children who received neonatal ECMO between 1996 and 2001 we assessed intelligence (Revised Amsterdam Intelligence Test), concentration (B...

    journal_title:Intensive care medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s00134-013-2973-1

    authors: Madderom MJ,Reuser JJ,Utens EM,van Rosmalen J,Raets M,Govaert P,Steiner K,Gischler SJ,Tibboel D,van Heijst AF,Ijsselstijn H

    更新日期:2013-09-01 00:00:00

  • The application of potassium selective electrodes in the intensive care unit.

    abstract::Recent advances in analytical electrochemistry have provided highly selective potassium ion exchangers and robust polymeric membranes that can be used to measure the potassium activity in plasma or whole blood. The relationship between the activity measurement and the more familiar concentration measurement is explore...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/BF01684390

    authors: Treasure T

    更新日期:1978-04-01 00:00:00

  • Variability in the concentrations of intravenous drug infusions prepared in a critical care unit.

    abstract:OBJECTIVE:To quantify the variability in the concentration of drug infusions prepared on an intensive care unit and establish whether there was a relationship between the quality of syringe labeling and drug preparation. DESIGN:Audit carried out over 3 weeks in May 2006 and completed in May 2007. SETTING:The adult ne...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-008-1113-9

    authors: Wheeler DW,Degnan BA,Sehmi JS,Burnstein RM,Menon DK,Gupta AK

    更新日期:2008-08-01 00:00:00

  • Procalcitonin for early diagnosis and differentiation of SIRS, sepsis, severe sepsis, and septic shock.

    abstract:OBJECTIVE:To determine the value of procalcitonin (PCT) in the early diagnosis (and differentiation) of patients with SIRS, sepsis, severe sepsis, and septic shock in comparison to C-reactive protein (CRP), white blood cell and thrombocyte count, and APACHE-II score (AP-II). DESIGN:Prospective cohort study including a...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/BF02900728

    authors: Brunkhorst FM,Wegscheider K,Forycki ZF,Brunkhorst R

    更新日期:2000-03-01 00:00:00

  • Erythromycin dose of 70 mg accelerates gastric emptying as effectively as 200 mg in the critically ill.

    abstract:OBJECTIVE:To compare the effectiveness of 70-mg and 200-mg doses of intravenous erythromycin in improving gastric emptying in critically ill patients. DESIGN:Gastric emptying was measured on consecutive days; day 1 (pre-treatment), day 2 (post-treatment) after an intravenous infusion of either 70 or 200 mg erythromyci...

    journal_title:Intensive care medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1007/s00134-005-2663-8

    authors: Ritz MA,Chapman MJ,Fraser RJ,Finnis ME,Butler RN,Cmielewski P,Davidson GP,Rea D

    更新日期:2005-07-01 00:00:00

  • Measurement of lung volume in mechanically ventilated monkeys with an ultrasonic flow meter and the nitrogen washout method.

    abstract:OBJECTIVE:Measurement of functional residual capacity (FRC) during mechanical ventilation is important to standardise respiratory system compliance and adjust the ventilator settings to optimise lung recruitment. In the present study we compared three methods to measure FRC. DESIGN:The bias flow nitrogen washout techn...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-003-2028-0

    authors: Schibler A,Hammer J,Isler R,Buess C,Newth CJ

    更新日期:2004-01-01 00:00:00

  • Extracorporeal treatment of acute renal failure in the intensive care unit: a critical view.

    abstract::Acute renal failure in critically ill patients is seldom an isolated problem but is more usually associated with multiple organ failure. When choosing an extracorporeal kidney replacement therapy, these other failing organs must be taken into account. Therefore the choice of an artificial kidney in patients requiring ...

    journal_title:Intensive care medicine

    pub_type: 杂志文章,评审

    doi:10.1007/BF00261492

    authors: Schetz M,Lauwers PM,Ferdinande P

    更新日期:1989-01-01 00:00:00

  • An assessment of acute kidney injury with modified RIFLE criteria in pediatric patients with severe burns.

    abstract:OBJECTIVE:To apply the modified pediatric RIFLE criteria for severity of acute kidney injury (AKI) to pediatric burn ICU patients and to evaluate the overall incidence of AKI, risk factors for AKI and influence of AKI on outcome. DESIGN:Retrospective, descriptive cohort study. SETTING:10-bed burn PICU facility. PATI...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-009-1638-6

    authors: Palmieri T,Lavrentieva A,Greenhalgh D

    更新日期:2009-12-01 00:00:00

  • Secondary exposure of medical staff to sarin vapor in the emergency room.

    abstract:OBJECTIVE:To clarify the risk of secondary exposure of medical staff to sarin vapor in the emergency room, and to warn emergency room staffs of the hazard. DESIGN:Retrospective observational survey. SETTING:Emergency department of a university hospital in a metropolitan area of Japan. PARTICIPANTS:Fifteen doctors tr...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/BF01700667

    authors: Nozaki H,Hori S,Shinozawa Y,Fujishima S,Takuma K,Sagoh M,Kimura H,Ohki T,Suzuki M,Aikawa N

    更新日期:1995-12-01 00:00:00

  • The increase in CO2 production induced by NaHCO3 depends on blood albumin and hemoglobin concentrations.

    abstract:OBJECTIVE:To evaluate the origin of H+ ions participating in the generation of CO2 coming from sodium bicarbonate infusion during metabolic acidosis. We hypothesized that these H+ ions come from a back-titration of the main non-bicarbonate buffers present in the blood, i. e. the hemoglobin and the albumin, and thus pos...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s001340051204

    authors: Levraut J,Garcia P,Giunti C,Ichai C,Bouregba M,Ciebiera JP,Payan P,Grimaud D

    更新日期:2000-05-01 00:00:00

  • Candida spp. airway colonization could promote antibiotic-resistant bacteria selection in patients with suspected ventilator-associated pneumonia.

    abstract:OBJECTIVE:Candida spp. airway colonization could promote development of ventilator-associated pneumonia (VAP) caused by Pseudomonas aeruginosa, a potentially multidrug-resistant (MDR) bacteria, and worsen the outcome of VAP regardless of pathogen. We therefore address the question of the risk of MDR bacteria isolation ...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-012-2584-2

    authors: Hamet M,Pavon A,Dalle F,Pechinot A,Prin S,Quenot JP,Charles PE

    更新日期:2012-08-01 00:00:00

  • Predictors of prolonged weaning and survival during ventilator weaning in a respiratory ICU.

    abstract:PURPOSE:An International Consensus Conference proposed classifying weaning into simple, difficult, and prolonged weaning. However, the usefulness of this classification in a respiratory intensive care unit (ICU) is unknown. The aims of the study were: (1) to compare the clinical characteristics and outcomes of patients...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-011-2179-3

    authors: Sellares J,Ferrer M,Cano E,Loureiro H,Valencia M,Torres A

    更新日期:2011-05-01 00:00:00

  • Predictors of outcome for children requiring respiratory extra-corporeal life support: implications for inclusion and exclusion criteria.

    abstract:OBJECTIVES:A range of children receive extra-corporeal life support (ECLS) for respiratory failure, but there is little published data on this group. Our aims were: (1) to analyse predictors of outcome and (2) comment on inclusion and exclusion criteria. DESIGN:Retrospective review. SETTING:Tertiary ECLS centre. PAT...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-008-1232-3

    authors: Pathan N,Ridout DA,Smith E,Goldman AP,Brown KL

    更新日期:2008-12-01 00:00:00

  • Hemodynamics in experimental gastric juice induced aspiration pneumonitis.

    abstract:OBJECTIVE:To characterize hemodynamic changes during experimental aspiration pneumonitis, paying special attention to echocardiographic assessment. DESIGN AND SETTING:Animal study in a university-based research laboratory. SUBJECTS:Fourteen mechanically ventilated New Zealand white rabbits INTERVENTIONS:We instilled...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-006-0457-2

    authors: Fraisse A,Bregeon F,Delpierre S,Gaudart J,Payan MJ,Pugin J,Papazian L

    更新日期:2007-02-01 00:00:00

  • Effect of oxygen affinity on systemic perfusion and brain tissue oxygen tension after extreme hemodilution with hemoglobin-starch conjugates in rats.

    abstract:PURPOSE:To determine the oxygen affinity for optimal tissue oxygen delivery with a hemoglobin-hydroxyethyl starch conjugate (HRC 101). METHODS:Anesthetized rats were hemodiluted (180 ml kg(-1)) with low (P(50) approximately 70 mmHg) or high affinity (P(50) approximately 14 mmHg) HRC 101 at hemoglobin (Hb) concentratio...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-009-1532-2

    authors: Hare GM,Liu E,Baker AJ,Mazer CD

    更新日期:2009-11-01 00:00:00

  • Development of demographics and outcome of very old critically ill patients admitted to intensive care units.

    abstract:PURPOSE:To evaluate the development of demographics and outcome of very old (>80 years) critically ill patients admitted to intensive care units. SETTING:All consecutive patients admitted to 41 Austrian intensive care units (ICUs) over an 11-year period. METHODS:We performed a retrospective cohort study of prospectiv...

    journal_title:Intensive care medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s00134-012-2474-7

    authors: Ihra GC,Lehberger J,Hochrieser H,Bauer P,Schmutz R,Metnitz B,Metnitz PG

    更新日期:2012-04-01 00:00:00

  • Inhibition of human neutrophil chemotaxis toward interleukin 8 with six clinical antithrombin concentrates in vitro.

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    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-002-1432-1

    authors: Kaneider NC,Rabensteiner A,Reinisch CM,Dunzendorfer S,Wiedermann CJ

    更新日期:2002-10-01 00:00:00

  • Delayed cerebral thrombosis in bacterial meningitis: a prospective cohort study.

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    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-012-2792-9

    authors: Lucas MJ,Brouwer MC,van de Beek D

    更新日期:2013-05-01 00:00:00

  • Effects of hemorrhage on gastrointestinal oxygenation.

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    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-001-1138-9

    authors: Dubin A,Estenssoro E,Murias G,Canales H,Sottile P,Badie J,Barán M,Pálizas F,Laporte M,Rivas Díaz M

    更新日期:2001-12-01 00:00:00

  • Helicobacter pylori in intensive care: why we should be interested.

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    journal_title:Intensive care medicine

    pub_type: 杂志文章,评审

    doi:10.1007/s00134-003-1838-4

    authors: Robertson MS,Clancy RL,Cade JF

    更新日期:2003-11-01 00:00:00