Year 2011 Vol. 19 No 1

PAEDIATRIC SURGERY

ADAMASHVILI G.G., DGEBUADZE M.A., SHVANGIRADZE E.V., KORINTELI I.A.

PLASMAPHERESIS EFFICACY IN TREATMENT OF SURGICAL SEPSIS AND MULTIPLE ORGAN INSUFFICIENCY

Objectives. To evaluate the therapeutic efficacy of plasmapheresis in treatment of surgical sepsis and multiple organ insufficiency.
Methods. 26 patients 0–12 years of age (newborns, infants, 3–7 and 7–12 years of age), admitted to Tbilisi State Medical University Pediatric Hospital in 2001–2005 with surgical sepsis and multiple organ insufficiency were investigated. The patients were randomized into two groups: patients, who receive plasmapheresis in addition to the conventional treatment and patients, who receive standard sepsis treatment only.
Results. Plasmapheresis obstacles the progression of the organ dysfunction in patients of all investigated age groups with surgical sepsis and its application permits to decrease patient’s mortality.
Conclusions. Plasmapheresis is an effective and safe addition to the conventional treatment of surgical sepsis in children.

Keywords: treatment of surgical sepsis, multiple organ insufficiency, plasmapheresis
p. 68 – 71 of the original issue
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