[Multiple-organ pathology in septic shock in patients with hemoblastoses].

A prospective study of 20 patients with hemoblastosis and septic shock (SS) was carried out by invasive monitoring of the central hemodynamics and oxygen transport, evaluation of biochemical and coagulological parameters, and assessment of the severity of clinical condition by the APACHE II and SOFA scores. Septic shock was effectively treated in 12 patients, 5 of them were discharged from the department (group 1) and 7 died in intensive care wards from various complications (group 2). Eight patients died during the first 2 days from SS resistant to therapy (group 3).

[The course and prognosis of septic shock in patients with hemoblastoses and aplastic anemia in a state of agranulocytosis].

The course and prognosis of septic shock developing during agranulocytosis were retrospectively studied in 59 hematological patients (52 ones with hemoblastosis and 7 with aplastic anemia). Out of 59 patients with septic shock hospitalized at department for anesthesiology and reanimation, in 5 shock was arrested and they were transferred to other departments of the hospital. All patients with failure of more than three organ systems, with SAPS score of 21 at admission, and a history of splenectomy died in the anesthesiology and reanimation department.

[Acute respiratory failure as the 1st symptom of migration of a central venous catheter into the mediastinum].

Reports a case with late development of hydromediastinum and right-side hydrothorax as a result of migration of the central venous catheter into the mediastinum. Acute respiratory insufficiency was the first symptom of this complication.