Intensive care unit renal support therapy volume is not associated with patient outcome*

2011 ◽  
Vol 39 (11) ◽  
pp. 2470-2477 ◽  
Author(s):  
Yên-Lan Nguyen ◽  
Eric B. Milbrandt ◽  
Lisa A. Weissfeld ◽  
Jeremy M. Kahn ◽  
Jean-Daniel Chiche ◽  
...  



2018 ◽  
Author(s):  
Samuel M Galvagno Jr ◽  
Anthony E Tannous

Knowledge regarding the practical aspects of managing continuous renal replacement therapy (CRRT) in the surgical intensive care unit is a prerequisite for achieving desired physiologic end points. Familiarity with the initiation, dosing, adjustment, and termination of CRRT is a core skill for surgical intensivists. Modalities, terminology, and components of CRRT are discussed in this review, with an emphasis on the practical aspects of dosing, adjustments, and termination. Filter selection and management of electrolyte and acid-base derangements are emphasized. Key words: continuous renal replacement therapy, continuous venovenous hemofiltration, continuous venovenous hemofiltration dialysis, dialysis, intensive care unit





2006 ◽  
Vol 34 (12) ◽  
pp. 2946-2951 ◽  
Author(s):  
Fran A. Priestap ◽  
Claudio M. Martin




Author(s):  
Cuneyt Salturk ◽  
Zuhal Karakurt ◽  
Huriye Takir ◽  
Gokay Gungor ◽  
Feyza Kargin ◽  
...  


2014 ◽  
Vol 9 (4) ◽  
pp. 403-408 ◽  
Author(s):  
Cengizhan Sezgi ◽  
Mahsuk Taylan ◽  
Halide Kaya ◽  
Hadice Selimoglu Sen ◽  
Ozlem Abakay ◽  
...  


2004 ◽  
Vol 25 (12) ◽  
pp. 1090-1096 ◽  
Author(s):  
Stéphane Hugonnet ◽  
Philippe Eggimann ◽  
François Borst ◽  
Patrice Maricot ◽  
Jean-Claude Chevrolet ◽  
...  

AbstractObjective:To assess the effect of ventilator-associated pneumonia on resource utilization, morbidity, and mortality.Design:Retrospective matched cohort study based on prospectively collected data.Setting:Medical intensive care unit of a university teaching hospital.Patients:Case-patients were all patients receiving mechanical ventilation for 48 hours or more who experienced an episode of ventilator-associated pneumonia. Control-patients were matched for number of discharge diagnoses, duration of mechanical support before the onset of pneumonia among case-patients, age, admission diagnosis, gender, and study period.Results:One hundred six cases of ventilator-associated pneumonia were identified in 452 patients receiving mechanical ventilation. The matching procedure selected 97 pairs. Length of stay in the intensive care unit and duration of mechanical ventilation were greater among case-patients by a mean of 7.2 days (P< .001) and 5.1 days (P< .001), respectively. Median costs were $24,727 (interquartile range, $18,348 to $39,703) among case-patients and $17,438 (interquartile range, $12,261 to $24,226) among control-patients (P< .001). The attributable mortality rate was 7.3% (P = .26). The attributable extra hospital stay was 10 days with an extra cost of $15,986 per episode of pneumonia.Conclusion:Ventilator-associated pneumonia negatively affects patient outcome and represents a significant burden on intensive care unit and hospital resources.



2012 ◽  
Vol 116 (6) ◽  
pp. 1377-1387 ◽  
Author(s):  
Thomas Rimmelé ◽  
John A. Kellum ◽  
David S. Warner

High-volume hemofiltration is an extracorporeal therapy that has been available in the intensive care unit for more than 10 yr. Recent improvements in technology have made its clinical application easier and safer. However, the definition, indications, and management of this technique are still unclear, and considerable controversy and confusion remain. The aim of this review is to analyze the available data while taking into account the distinction between two very different clinical situations: acute kidney injury requiring renal support, and severe inflammatory states where blood purification has been suggested as an adjuvant therapy. For patients with acute kidney injury requiring renal replacement therapy, the two largest multicenter studies performed to date established that high ultrafiltration flow rates are not necessary. Conversely, much experimental and some clinical evidence suggest that high-volume hemofiltration can be beneficial for the subset of critically ill patients with severe inflammatory states such as septic shock.



Sign in / Sign up

Export Citation Format

Share Document