tailieunhanh - Báo cáo y học: "Methemoglobinemia in critically ill patients during extended hemodialysis and simultaneous disinfection of the hospital water supply"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Methemoglobinemia in critically ill patients during extended hemodialysis and simultaneous disinfection of the hospital water supply. | Available online http content 13 5 R162 Research Methemoglobinemia in critically ill patients during extended hemodialysis and simultaneous disinfection of the hospital water supply Martin Johannes Bek1 Sven Laule2 Christine Reichert-Junger1 Rainer Holtkamp2 Michael Wiesner3 and Cornelius Keyl2 Dialysis Centre Bad Krozingen Heart Centre Bad Krozingen Suedring 15 79189 Bad Krozingen Germany 2Department of Anesthesiology Heart Centre Bad Krozingen Suedring 15 79189 Bad Krozingen Germany 3Department of Heart Surgery Heart Centre Bad Krozingen Suedring 15 79189 Bad Krozingen Germany Corresponding author Cornelius Keyl Received 10 Jul 2009 Revisions requested 3 Aug 2009 Revisions received 26 Aug 2009 Accepted 12 Oct 2009 Published 12 Oct 2009 Critical Care 2009 13 R162 doi cc8128 This article is online at http content 13 5 R1 62 2009 Bek et al. licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Open Access Abstract Introduction To evaluate the cause of methemoglobinemia in patients undergoing extended daily hemodialysis hemodiafiltration we analyzed the relationship between methemoglobinemia and the water disinfection schedule of the hospital. Methods We reviewed all arterial blood gas analyses obtained over a one-year period in patients undergoing extended hemodialysis hemodiafiltration and compared the methemoglobin concentrations obtained on the days when the water supply was disinfected using a hydrogen peroxide silver ion preparation with data measured on disinfection-free days. Results The evaluation of 706 measurements revealed a maximum methemoglobin fraction of median and 25th 75th percentiles during hemodialysis hemodiafiltration on the .