Biomedical subjects

A Miłkowski

Publications and source records attributed to A Miłkowski.

11 recordsLinked to original sources

PubMed2000

[Pregnancy in patients with end-stage renal failure on maintenance dialysis: case reports].

Pregnancy in women with end-stage renal failure on maintenance dialysis is rare, and the chance of successful delivery is relatively low. In this paper we present two cases of women who conceived just prior to initiation of renal replacement therapy and the pregnancy was terminated successfully already on chronic dialysis treatment. The special attention was paid on the necessity of multi-disciplinary collaboration and the need for changes in regular dialysis schedule as the conditions crucial for successful delivery. In summary, the review of current literature dealing with mentioned problem was done.

Adult↗

PubMed2000

[Comparison of anti-HBV vaccine efficacy given intradermally and intramuscularly in hemodialysis patients].

Patients chronically hemodialysed are recognised as a group of especially high risk for viral hepatitis B (HBV) infection. Moreover, their hyporesponsiveness to vaccination is widely known. So establishment of highly effective vaccination protocol is indispensable. We are presenting 5 year prospective observations of results of hemodialysis patients anti-HBV vaccination. 36 patients were vaccinated intramuscularly (among them 30 were revaccinated intradermally) and 40 patients--only intradermally. We revealed that seroprotective level of anti-HBs antibodies should be at least 100 IU/ml. We disclosed, that intradermal anti-HBV vaccination--compared to intramuscular--was significantly more effective (77.5%--and including answer in the second vaccination cycle 85.0%--vs 38.9%) and, moreover, less amount of vaccine could be used (28.2 micrograms--and for patients answering barely in the second vaccination cycle 53.7 micrograms--vs 123 micrograms). However, after intradermal vaccination seroprotective antibodies level falls faster and should be checked every 3 months. Patients answering efficiently to vaccination--comparing to answering inefficiently--have significantly higher albumin level and are younger. Moreover, higher dialysis dose favors the successful long-time answer to vaccination.

Adult↗

PubMed1996

[Permanent catheter as an alternative vascular access for hemodialysis].

There are presented own experiences in permanent catheter application as vascular access for hemodialysis. During 1.5 year in 15 patients 18 catheters were inserted. 3 catheters had to be exchanged during first month. Catheter malfunctions (complete obstruction, ventil sign) were observed 13 times in 5-in all patients catheter patients (ratio 3.88/1000 days). Streptokinase and Urokinase were applied 9 times-in all patients catheter patency were reinstituted (however, 2 patients had insufficient blood flows). Infective complications (local or general) occurred 4 times in 3 patients (ratio 1.55/1000 days)-there were no necessity for catheter removal. On the base of own experience, as well as literature, there are discussed indications for permanent catheter application as dialysis access, practical issue in the use and complications management.

Adult↗

PubMed1992

[Results of the treatment of acute renal failure in 3 selected dialysis units in southern Poland 1981-1990].

The results of the treatment of patients with acute renal failure (ARF) in dialysis units of Kraków, Nowy Sacz and Tarnów were estimated on the basis of prepared questionnaire. The increased number of patients treated because of ARF was demonstrated in the successive years of the study. The mortality rate in the tested group of patients remained about 27%. It depended on the cause of ARF and equalled to 26.7% in medical, 36.7% in surgical, 8% in obstetrical and 6.7 in urological patients, respectively.

Acute Kidney Injury↗

PubMed1984