Application of high volume continuous venovenous hemofiltration in complex therapy of severe thermal injury at children
Purpose: assessment of efficiency of application of high volume continuous venovenous hemofiltration at children with severe thermal injury in the period of burn shock. Materials and methods: there were studied 23 patients with severe thermal injury. High volume continuous venovenous hemofiltration was entered in the list of intensive care for 12 children during the first 72 hours from the moment of burn. High volume continuous veno venous hemofiltration was carried out on the apparatus Prisma Flex with use of sorption membrane hemocartridge AN 69 Prisma Flex ST 60 Set.. This method was not used at the group of comparison which consist of 11 children. Index of central hemodynamics, biome chanics of respiration, transport of 02, acid base balance of blood were studied. Resume: there were determined that application of this method at children with severe thermal injury prevent progression of syndrom of multiple organ failure, decrease number of involved systems, promote improvement results of therapy.