Publications by authors named "Yvonne Grinschgl"

Article Synopsis
  • In critically ill patients on ECMO, using a standard 200 mg loading dose of isavuconazole led to delayed target plasma concentrations.
  • The study increased the initial loading dose to 300 mg and 400 mg for 15 patients to evaluate the effect on plasma levels.
  • Results showed that a 400 mg loading dose significantly raised plasma concentrations to ≥1 mg/L within the first 24 hours without any adverse effects documented.
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Isavuconazole (ISA) is a triazole antifungal agent recommended for treatment of invasive aspergillosis or mucormycosis. The objective of this study was to evaluate ISA levels in a real world setting in a mixed patient cohort including patients with non-malignant diseases and extracorporeal treatments, and to correlate findings with efficacy and safety outcomes. We investigated 33 ISA treatment courses in 32 adult patients with hematological and other underlying diseases and assessed the clinical response, side effects and ISA trough plasma concentrations.

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Background: Fibrinogen-based clot firmness is reported as the maximum amplitude (MA) when using the citrated functional fibrinogen (CFF) assay in thrombelastography (TEG), and as the maximum clot firmness (MCF) together with several clot amplitude parameters when using the FIBTEM assay in thromboelastometry (ROTEM). Concern is currently being raised that these two tests have different platelet inhibiting performance and consequently provide different values. This is relevant for the clinical setting of fibrinogen replacement.

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