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[Hemofiltration in the terminal phase of diffuse suppurative peritonitis]
Sovetskaia Meditsina
|January 1, 1990
Summary
Hemofiltration effectively treated peritonitis patients with multi-organ failure, prolonging intensive care. This critical care intervention showed a 53.8% mortality rate in terminal peritonitis cases.
Area of Science:
- Critical Care Medicine
- Nephrology
- Intensive Care
Context:
- Peritonitis in terminal phases often leads to severe organic and multi-organ insufficiency.
- Conventional treatments may be insufficient for patients with advanced peritonitis and organ dysfunction.
Purpose:
- To evaluate the efficacy and safety of hemofiltration as part of a multi-modality treatment for peritonitis patients in terminal stages.
- To establish indications, contraindications, and optimal protocols for hemofiltration in peritonitis management.
Summary:
- Hemofiltration was utilized in 26 terminal peritonitis patients with multi-organ failure.
- The study defined optimal hemofiltration schemes and identified its effectiveness in respiratory distress syndrome, nephropathy, hypodynamic syndrome, and cerebral edema.
- The intervention was integrated into complex therapeutic measures.
Impact:
- Hemofiltration prolonged intensive care for most peritonitis patients in terminal phases.
- The study reported a mortality rate of 53.8% (14 deaths) in the studied cohort.
- This research provides insights into hemofiltration's role in managing complex critical care scenarios like terminal peritonitis.