Management of CVVHDF for Acute Renal Failure Patients with Sepsis After Post Exploratory Laparotomy Colonic Resection in Intensive Care Unit: A Case Report

Acute renal failure (ARF) is a condition that may occurs in susceptible postoperative patients. The incidence of ARF reaches 30?60% and it more after major surgery (e.g., laparotomy, heart surgery). It often caused by hypovolemia, hypoperfusion, systemic inflammation. Laparotomy complex operation can lead to complications including ARF, acute pulmonary edema, sepsis, increased morbidity mortality.
 A 76-year-old female patient underwent exploratory laparotomy for abdominal indications with suspected obstructive ileus sepsis. Postoperatively, the was treated ICU using ventilator. On third day patient's function urine volume decreased. Creatinine level 5.19 mg/dL, urea 217 mg/dL 0.2 ml/kg/h. given diuretics but she did not show clinical laboratory improvement. We decided perform hemodialysis continuous veno-venous hemodiafiltration (CVVHDF) mode because septic hemodynamic instability. CVVHDF performed three days, periodic examinations were assess function. After days CVVHDF, indices improved could be extubated. Hemodialysis has benefits especially if unstable hemodynamics.
 Key words: Renal Failure; CVVHDF; Hemodialysis, Laparotomy, Sepsis
 Citation: Bangun YG, Hidayat H. Management sepsis post laparotomy: case report. Anaesth. pain intensive care 2022;27(1):131?134.
 DOI: 10.35975/apic.v27i1.2086
 Received: December 11, 2022; Reviewed: 22, Accepted: January 12, 2023