scholarly journals Effect of renal support therapy on 5-year survival in patients discharged from the intensive care unit

2020 ◽  
Vol 8 (1) ◽  
Author(s):  
Henry Oliveros ◽  
Giancarlo Buitrago
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Renal Support Therapy ◽  
Renal Support

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 ◽  
...  
Keyword(s):  
Patient Outcome ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Renal Support Therapy ◽  
Renal Support

Renal Support Therapy

2018 ◽  
Author(s):  
Samuel M Galvagno Jr ◽  
Anthony E Tannous
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Renal Replacement Therapy ◽  
Continuous Renal Replacement Therapy ◽  
Replacement Therapy ◽  
Surgical Intensive Care Unit ◽  
Continuous Venovenous Hemofiltration ◽  
Surgical Intensive Care ◽  
Core Skill ◽  
Renal Support Therapy

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

scholarly journals High-volume Hemofiltration in the Intensive Care Unit

2012 ◽  
Vol 116 (6) ◽  
pp. 1377-1387 ◽  
Author(s):  
Thomas Rimmelé ◽  
John A. Kellum ◽  
David S. Warner
Keyword(s):  
Intensive Care Unit ◽  
Acute Kidney Injury ◽  
Intensive Care ◽  
Kidney Injury ◽  
High Volume ◽  
Multicenter Studies ◽  
High Volume Hemofiltration ◽  
Considerable Controversy ◽  
Extracorporeal Therapy ◽  
Renal Support

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.

Renal support in the intensive care unit

1991 ◽  
Vol 4 (2) ◽  
pp. 272-278 ◽  
Author(s):  
David J. Bihari ◽  
Richard J. Beale
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Renal Support

Renal Support Therapy

2017 ◽  
Author(s):  
Samuel M Galvagno Jr ◽  
Anthony E Tannous
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Renal Replacement Therapy ◽  
Continuous Renal Replacement Therapy ◽  
Replacement Therapy ◽  
Surgical Intensive Care Unit ◽  
Continuous Venovenous Hemofiltration ◽  
Surgical Intensive Care ◽  
Core Skill ◽  
Renal Support Therapy

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

Short-term renal support in postoperative repair of tetralogy of Fallot in the paediatric intensive care unit: can we predict those who need it?

2014 ◽  
Vol 25 (4) ◽  
pp. 760-764 ◽  
Author(s):  
Michael J. Griksaitis ◽  
Rebekah R. Kemp ◽  
Robert J. Dyer ◽  
James P. Gnanapragasam ◽  
Nicola Viola ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Peritoneal Dialysis ◽  
Tetralogy Of Fallot ◽  
Paediatric Intensive Care Unit ◽  
Peritoneal Dialysis Catheter ◽  
Dialysis Catheter ◽  
High Fluid ◽  
Tetralogy Of Fallot Repair ◽  
Renal Support

AbstractIntroductionFluid balance and renal function can be difficult to manage in the postoperative infant with tetralogy of Fallot. High fluid volumes are often needed to maintain cardiac output.AimsTo stratify patients at risk for advanced renal support following tetralogy of Fallot repair.MethodsRetrospective analysis of all consecutive tetralogy of Fallot cases operated at a single centre in a 3-year period.ResultsA total of 41 children were identified. All cases had loop diuretics administered. Of the cases, 17% required support with a peritoneal dialysis catheter, with only one complication of peritoneal dialysis catheter blockage. The mean length of paediatric intensive care unit stay in those receiving peritoneal dialysis catheter insertion was prolonged by an additional mean of 6 days (p<0.001). No statistical significance was found between those children requiring peritoneal dialysis and those who did not when considering patient age and weight at time of repair, cardiopulmonary bypass and aortic cross clamp times, the presence of a transannular patch, or junctional ectopic tachycardia. However, volume requirement of more than 35 ml/kg in the first 12 hours following repair did increase the likelihood to need peritoneal dialysis (p<0.0001). Furthermore, the higher the peak creatinine, the longer the stay on intensive care (p<0.01).ConclusionsPeritoneal dialysis is an effective method of dealing with fluid balance in children after tetralogy of Fallot repair, with minimal complications. Early consideration should be given to peritoneal dialysis when it is clear that high fluid volumes are required postoperatively.

The Psychosocial Aspects of Feeding in the Neonatal Intensive Care Unit and Beyond

2019 ◽  
Vol 4 (6) ◽  
pp. 1507-1515
Author(s):  
Lauren L. Madhoun ◽  
Robert Dempster
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Hospital Discharge ◽  
Neonatal Intensive Care ◽  
Oral Feeding ◽  
Medical Attention ◽  
Primary Role ◽  
Speech Language Pathologists ◽  
The Family

Purpose Feeding challenges are common for infants in the neonatal intensive care unit (NICU). While sufficient oral feeding is typically a goal during NICU admission, this can be a long and complicated process for both the infant and the family. Many of the stressors related to feeding persist long after hospital discharge, which results in the parents taking the primary role of navigating the infant's course to ensure continued feeding success. This is in addition to dealing with the psychological impact of having a child requiring increased medical attention and the need to continue to fulfill the demands at home. In this clinical focus article, we examine 3 main areas that impact psychosocial stress among parents with infants in the NICU and following discharge: parenting, feeding, and supports. Implications for speech-language pathologists working with these infants and their families are discussed. A case example is also included to describe the treatment course of an infant and her parents in the NICU and after graduation to demonstrate these points further. Conclusion Speech-language pathologists working with infants in the NICU and following hospital discharge must realize the family context and psychosocial considerations that impact feeding progression. Understanding these factors may improve parental engagement to more effectively tailor treatment approaches to meet the needs of the child and family.

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