Continuous renal replacement therapy.
نویسندگان
چکیده
Continuous renal replacement therapy (CRRT) is a blood purification modality that uses a combination of convection and diffusion to eliminate uremic toxins and correct electrolyte imbalances. Although CRRT is usually associated with the treatment of acute renal failure, it can also be useful in treating many types of toxicoses and drug overdoses. Unlike intermittent hemodialysis, in which the patient is treated at set intervals for a specified number of hours, CRRT continues until kidney function is restored. CRRT's array of blood purification techniques and its slow, continuous nature more closely approximate normal kidney function than does intermittent dialysis. Although easier to maintain than traditional dialysis systems, CRRT requires specialized equipment, training, and nursing care.
منابع مشابه
Discontinuation of continuous renal replacement therapy: a post hoc analysis of a prospective multicenter observational study.
OBJECTIVES To describe current practice for the discontinuation of continuous renal replacement therapy in a multinational setting and to identify variables associated with successful discontinuation. The approach to discontinue continuous renal replacement therapy may affect patient outcomes. However, there is lack of information on how and under what conditions continuous renal replacement th...
متن کاملEvolution and mortality risk factors in children with continuous renal replacement therapy after cardiac surgery.
INTRODUCTION AND OBJECTIVES To study the clinical course of children requiring continuous renal replacement therapy after cardiac surgery and to analyze factors associated with mortality. METHODS A prospective observational study was performed that included children requiring continuous renal replacement therapy after cardiac surgery. Univariate and multivariate analyses were performed to det...
متن کاملHeparin algorithm for anticoagulation during continuous renal replacement therapy
Premature circuit clotting is a problem during continuous renal replacement therapy. We describe an algorithm for individualised anticoagulation with unfractionated heparin based on the patient's risk of bleeding and previous circuit life. The algorithm allows effective and safe nurse-led anticoagulation during continuous renal replacement therapy.
متن کاملContinuous Renal Replacement Therapy Clearance Rate for Salicylate Toxicity in Multi-System Trauma
The management of patients with concomitant xenobiotic toxicity and multisystem trauma can be complex. While hemodialysis is generally the modality of choice for extracorporeal elimination of salicylates, the potential for large volume shifts and hypotension may pose a risk in patients with traumatic brain injury. An alternative therapy to hemodialysis is continuous renal replacement therapy, w...
متن کاملA comparison between 2 dilute citrate solutions (15mmol/l vs 18 mmol/l) in continuous renal replacement therapy: the base excess and renal replacement solution (BEARRS) study
A comparison between 2 dilute citrate solutions (15mmol/l vs 18 mmol/l) in continuous renal replacement therapy: the base excess and renal replacement solution (BEARRS) study
متن کاملUtilisation and outcome of renal replacement therapy in an Asian tertiary intensive care unit.
OBJECTIVES To determine the period prevalence, demographic characteristics, cost of treatment, and outcomes of patients admitted to the intensive care unit for continuous renal replacement therapy. DESIGN Descriptive case series. SETTING Intensive Care Unit in a Hong Kong tertiary referral, teaching hospital. PATIENTS All patients admitted to the Intensive Care Unit from January to Decemb...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Compendium
دوره 30 5 شماره
صفحات -
تاریخ انتشار 2008