scholarly journals BLOOD AND URINE ELECTROLYTES DYNAMIC PATTERN OBSERVED AT DIFFERENT MONITORING STAGES IN PATIENTS SUFFERING FROM TOXIC SHOCK SYNDROME AND UNDERGOING VARIOUS TYPES OF INFUSION THERAPY

2018 ◽  
Vol 8 (4) ◽  
pp. 300-303
Author(s):  
E. V. Ivakhnenko

The need to study how the infusion therapy affects the electrolyte composition of blood is a topical issue nowadays. Such a study will provide the necessary answers and help us to introduce the most effective infusion therapy strategies for patients suffering from severe hemodynamic disorders accompanying toxic shock syndrome (TSS). The study analyzes and summarizes the examination and treatment results of 111 patients suffering from various forms of severe infectious disease complicated by TSS. As a result of the study, it was determined that infusion therapy using a combination of hypertensive and colloidal solutions significantly contributes to the rapid restoration of electrolyte composition and compensates for acidosis. Given these data, a combination of 10% sodium chloride solution with 6% colloidal solution can be considered a preferable solution for initial infusion therapy in patients suffering from TSS.

2019 ◽  
Vol 86 (7) ◽  
pp. 23-26
Author(s):  
A. P. Mazur ◽  
P. V. Gurin ◽  
M. M. Babich

Objective. To investigate the connection between application of solutions for infusion and parameters of the hemostasis system while the elective operations performance of coronary shunting on the working heart. Materials and methods. The results of examination and surgical treatment were analyzed in 80 patients, in whom coronary shunting on the working heart was conducted. The patients were divided into three groups: the Investigation Group I (IG I) – 20 patients, in whom colloidal solution of hydroxyethyl starch (HES) 130/0.4 was applied intraoperatively, the Investigation Group II (IG II) - 20 patients, in whom colloidal 4% solution of gelatin was used intraoperatively, and a Control Group, consisted of 40 patients, in whom only crystalloidal solutions were included in the infusion therapy program. The coagulation hemostasis indices, the blood loss volume and the need for hemotransfusion were compared. Results. In the IG I patients the volume of perioperative blood loss was more than in the IG II patients – (615 ± 191) and (438 ± 62) ml, accordingly (p=0.0003), and the coagulation hemostasis indices were trustworthily lower at the operation ending, demanding the erythrocytic mass transfusion doing in 3 (15%) patients. The IG II patients, comparing with the Control Group, suffered more volume of the blood loss - (560 ± 164) and (438 ± 62) ml, accordingly (p=0,02), and the changes in the coagulation indices, similar to changes in patients of the IG I, comparing with the Control Group patients. Any patient from the IG II needed hemotransfusion perioperatively. Conclusion. Application of colloidal solutions while doing elective operations of CSH on the  working heart leads to disorder of coagulation hemostasis, the intraoperative blood loss and the need for hemotransfusion enhancement.


2006 ◽  
Vol 210 (S 5) ◽  
Author(s):  
A Debeer ◽  
B Meyns ◽  
K Allegaert ◽  
C Vanhole

2006 ◽  
Vol 210 (S 5) ◽  
Author(s):  
A Debeer ◽  
B Meyns ◽  
K Allegaert ◽  
C Vanhole

2020 ◽  
Author(s):  
Amaury Billon ◽  
Marie-Paule Gustin ◽  
Anne Tristan ◽  
Thomas Bénet ◽  
Julien Berthiller ◽  
...  

Author(s):  
Megan Culler Freeman ◽  
Stephanie Mitchell ◽  
John Ibrahim ◽  
John V Williams

Abstract Neonatal toxic shock syndrome (TSS)-like exanthematous disease (NTED) is a syndrome first reported in Japan. Neonates develop systemic exanthema, thrombocytopenia, and fever usually during the first week of life. The disease is distinguished from frank TSS because affected infants are not severely ill and do not meet TSS criteria. Most infants are confirmed to be colonized with TSST-1 producing strains of S. aureus. Suggested diagnostic criteria for NTED include a skin rash with generalized macular erythema and one of the following symptoms: fever >38.0°C, thrombocytopenia <150 x103uL, or low positive C-reactive protein (1-5 mg/dL) in the absence of another known disease process. NTED is common in Japanese NICUs, but outside Japan, only one case has been reported in France. We describe the first case of NTED reported in North America.


2020 ◽  
Vol 20 (11) ◽  
pp. 1348
Author(s):  
Vivien Moris ◽  
David Guillier ◽  
Narcisse Zwetyenga ◽  
Eric Steinmetz

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