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Dahaba, AA.
The "Plateau" Phenomenon of Stepwise Extracorporeal Albumin Dialysis Bispectral Index Hepatic Encephalopathy Recovery.
A A Case Rep. 2015; 5(12):219-222 Doi: 10.1213/XAA.0000000000000226 (- Case Report) [OPEN ACCESS]
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Abstract:
The Bispectral Index™ monitor, an electroencephalographic-derived parameter, can quantify hepatic encephalopathy cerebral function recovery and differentiate between West Haven grades 1 to 4. I report a very peculiar "plateau" phenomenon of 3 clear distinct plateaus of stepwise albumin dialysis Bispectral Index hepatic encephalopathy recovery during an 8-hour Molecular Adsorbent Recirculating System™ (MARS™) liver-assist extracorporeal detoxification, manifesting in conjunction with 3 West Haven grade recoveries. In the patients, I observed recovery of cerebral function after hepatic encephalopathy as a series of plateaus with abrupt transitions between the plateaus, rather than the gradual recovery I anticipated.
Find related publications in this database (using NLM MeSH Indexing)
Aged -
Albumins -
Hepatic Encephalopathy - therapy
Humans -
Liver Failure -
Middle Aged -
Renal Dialysis -
Sorption Detoxification - instrumentation
Sorption Detoxification - methods

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