Renal replacement therapy in critical care

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Renal replacement therapy in intensive care unit.

Acute renal failure requiring renal replacement therapy (RRT) is a frequent complication in critically ill patients with high morbidity and mortality. Early prediction of who is going to need RRT is clinically useful in the intensive care unit (ICU). Patients' with diuretic resistant pulmonary edema, hyperkalemia/metabolic acidosis refractory to medical therapy and uremic complications (pericar...

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Uremic encephalopathy in critical care: does it exist and does renal replacement therapy improve outcome?

Introduction Neurological disturbances and acute kidney injury (AKI) commonly co-exist in critically ill patients. However, it is unclear if AKI directly contributes to neurological disturbances (uremic encephalopathy) or if neurological disturbances and AKI are both reflections of multiorgan failure. Furthermore, it is unclear if renal replacement therapy (RRT) improves outcome, especially if ...

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Pediatric critical care management of septic shock prior to acute kidney injury and renal replacement therapy.

A high index of suspicion for bacterial sepsis and recognition of the potential for rapid deterioration is essential for impacting patient outcome. Meningococcemia produces a stereotypical clinical and biochemical constellation of profound septic shock and purpura fulminans with marked inflammatory disturbance and a complex disruption of coagulation. Meningococcal infections preferentially affe...

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Continuous renal replacement therapy in intensive care unit

Acute renal failure (ARF) requiring dialysis is a common complication of patients in intensive care unit (ICU). Dialysis can be performed with either intermittent hemodialysis (IHD) or continuous renal replacement therapy (CRRT). CRRT is associated with less hemodynamic instability. Therefore, it is preferred in critically ill and hypotensive patients in ICU. However, current evidence does not ...

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Prolonged intermittent renal replacement therapy in the intensive care unit.

OBJECTIVE To present a review on the use of prolonged intermittent renal replacement therapy in the intensive care patient. DATA SOURCES Articles and abstracts reporting the use of renal replacement therapy. SUMMARY OF REVIEW Standard intermittent haemodialysis (IHD) has significant shortcomings in the treatment of the acute renal failure (ARF) of critical illness. These shortcomings includ...

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ژورنال

عنوان ژورنال: BJA Education

سال: 2017

ISSN: 2058-5349

DOI: 10.1093/bjaed/mkw070