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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
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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.
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Aged -
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Albumins -
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Hepatic Encephalopathy - therapy
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Humans -
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Liver Failure -
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Middle Aged -
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Renal Dialysis -
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Sorption Detoxification - instrumentation
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Sorption Detoxification - methods