Continuous Renal Replacement Therapy

Author: Rinaldo Bellomo
Editor: Oxford University Press
ISBN: 019022553X
File Size: 20,76 MB
Format: PDF
Read: 4769
Download

Continuous Renal Replacement Therapy (CRRT) is the standard of care for management of critically ill patients with acute renal failure. Part of the Pittsburgh Critical Care series, Continuous Renal Replacement Therapy provides concise, evidence-based, bedside guidance about this treatment modality, offering quick reference answers to clinicians' questions about treatments and situations encountered in daily practice. Organized into sections on theory, practice, special situations, and organizational issues, this volume provides a complete view of CRRT theory and practice. Tables summarize and highlight key points, and key studies and trials are included in each chapter. The second edition has been updated to include a new chapter on the use of biomarkers to aid in patient selection and timing, extensive revisions on terminology and nomenclature to match current standards, and the most up-to-date information on newly developed CRRT machines.

Acute Continuous Renal Replacement Therapy

Author: Emil P. Paganini
Editor: Springer Science & Business Media
ISBN: 1461323118
File Size: 23,82 MB
Format: PDF, Docs
Read: 7219
Download

The initial observations of dialytic support were brought from the laboratory and confined to patients with reversible acute renal failure. The thought at that time was one of short term maintenance. It was theorized that removal of waste products from the blood, albeit incomplete and inefficient, might allow these patients time to regenerate damaged tubules and regain renal function. After a dis appointing earlier experience in survival, greater sophisti cation and broader practice refined the dialysis skills and reduced mortality. It also became apparent that long periods of support were possible and successful attempts were then made in utilizing this technology in patients with chronic renal failure. These early young patients were a very select group who possessed only renal dysfunction and no other systemic involvement. Nonetheless, they demonstrated a one year survival of only 55-64%. There are presently over 80,000 patients on dialytic support in the United States and over 250,000 patients worldwide dependent on artificial replace ment. Mortality statistics vary but despite a 20-30% systemic disease involvement and a fifth decade average age in the North American experience, the one year survival has risen to apparently 90%.

Continuous Renal Replacement Therapy

Author: John Kellum
Editor: Oxford University Press
ISBN: 9780199748549
File Size: 48,62 MB
Format: PDF, Kindle
Read: 5200
Download

In the past decade, CRRT has moved from a niche therapy within specific specialty centers to the standard of care for management of critically ill patients with acute renal failure. Continuous Renal Replacement Therapy provides concise, evidence-based, to-the-point bedside guidance about this treatment modality, offering quick reference answers to clinicians' questions about treatments and situations encountered in daily practice. Organized into sections on Theory; Pratice; Special Situations; and Organizational Issues, Continuous Renal Replacement Therapy provides a complete view of CRRT theory and practice. Generous tables summarize and highlight key points, and key studies and trials are listed in each chapter.

40 Years Of Continuous Renal Replacement Therapy

Author: R. Bellomo
Editor: Karger Medical and Scientific Publishers
ISBN: 331806307X
File Size: 29,18 MB
Format: PDF, ePub
Read: 9308
Download

Continuous renal replacement therapies (CRRT) started off as an alternative to hemo- or peritoneal dialysis. Today's machines and techniques are the result of 4 decades of developments, studies, and practices which can be divided into 4 distinct stages: exploration and development; birth of a new specialty called critical care nephrology; design of specific new devices and machines; and interaction among various specialists to adapt extracorporeal therapies for multiple organ support and sepsis. This book features contributions from prominent CRRT experts from around the world. It is an important tool for educating a new generation of nephrologists and intensivists. At the same time, it provides the most advanced CRRT users with the latest technological information, the most updated clinical evidence, and the personal opinion of key leaders who contributed to the last 40 years of history in the field.

Pediatric Continuous Renal Replacement Therapy

Author: Farahnak Assadi
Editor: Springer
ISBN: 3319262025
File Size: 40,17 MB
Format: PDF
Read: 4556
Download

This book provides a current understanding of Continuous Renal Replacement Therapies (CRRT) techniques with a focus on drug dosing in critically ill children receiving CRRT. Strategies include the role of therapeutic drug monitoring, effect of CRRT on drug pharmacokinetics, variations in the drugs properties, newer kidney injury biomarkers and simple and easy methods for estimating drug clearance. The conclusion of this book features case reports focused on the patients’ symptoms and laboratory data as they present in clinical practice and the type of CRRT modality needed to provide quality, safety, and cost-effectiveness of patient care. Pediatric Continuous Renal Replacement Therapy will expand the clinical knowledge and experience of practicing nephrologists and other professionals involved in the care of children suffering from Acute Kidney Injury (AKI) to improve and sustain their quality of life.

Impact Of Continuous Renal Replacement Therapy Intensity On Septic Acute Kidney Injury

Author:
Editor:
ISBN:
File Size: 39,45 MB
Format: PDF, Kindle
Read: 4116
Download

Abstract : ABSTRACT: The intensity of continuous renal replacement therapy (CRRT) for acute kidney injury (AKI) has been evaluated, but recent randomized clinical trials have failed to demonstrate a beneficial impact of high intensity on the outcomes. High intensity might cause some detrimental results recognized recently as CRRT trauma. This study was undertaken to evaluate the association of CRRT intensity with mortality in a population of AKI patients treated with lower-intensity CRRT in Japan. A retrospective single-center cohort study enrolled 125 AKI patients treated with CRRT in mixed intensive care units of a university hospital in Japan. Subanalysis was conducted for septic and postsurgical AKI. The median value of the prescribed total effluent rate was 20.1 (interquartile range 15.3–27.1) mL/kg/h. Overall, univariate Cox regression analysis indicated no association of the CRRT intensity with the 60-day in-hospital mortality rate (hazard ratio 1.006, 95% confidence interval [CI] 0.991–1.018, P = 0.343). In subanalysis with the septic AKI patients, multivariate analysis revealed two factors associated independently with the 60-day mortality rate: the Sequential Organ Failure Assessment score at initiation of CRRT (hazard ratio 1.152, 95% CI 1.025–1.301, P = 0.0171) and the CRRT intensity (hazard ratio 1.024, 95% CI 1.004–1.042, P = 0.0195). The CRRT intensity was associated significantly with higher 60-day in-hospital mortality in septic AKI, suggesting that unknown detrimental effects of CRRT with high-intensity CRRT might worsen the outcomes in septic AKI patients.

Acute Abrin Poisoning Treated With Continuous Renal Replacement Therapy And Hemoperfusion Successfully

Author:
Editor:
ISBN:
File Size: 19,10 MB
Format: PDF, ePub, Mobi
Read: 409
Download

Abstract: Rationale: Abrin is a highly toxic protein obtained from the seeds of Abrus precatorius, but poisoning due to ingestion of A precatorius is extremely rare in China. Patient concerns: A 16-year-old girl, perfectly healthy before, was admitted to the department of gastroenterology owing to intentional ingestion of 10 crushed A precatorius seeds, with multiple episodes of somnolent and anxious mental status, vomiting, abdominal pain, diarrhea, hematochezia, and hematuria. Diagnosis: Acute abrin poisoning. Interventions: We immediately took effective measures including gastric lavage, purgation, gastric acid suppression by proton pump inhibitor (PPI), liver protection, hemostasis, blood volume and electrolytes resuscitation, continuous renal replacement therapy (CRRT), and hemoperfusion (HP). Outcomes: Her unwell mental status was improved to the point at which she became conscious and relaxed. The symptoms of vomiting, abdominal pain, diarrhea, hematochezia, and hematuria disappeared gradually. The girl eventually made an excellent recovery with no complications at her 3-month follow-up. Lessons: The combination of CRRT and HP is an efficient measure in the treatment of abrin poisoning for which there is no specific antidote. This is the first reported case of an abrin poisoning patient successfully treated by CRRT plus HP. Our experience will be useful to other physicians in managing patients of acute abrin poisoning in the future.

Acute Blood Purification

Author: Hiromichi Suzuki
Editor: Karger Medical and Scientific Publishers
ISBN: 380559478X
File Size: 68,25 MB
Format: PDF, ePub
Read: 2645
Download

Acute organ damage and the ensuing multiple organ failure are the result of a pathophysiological process involving various cytokines. Once activated, these proteins cannot be eliminated even when the kidneys function at their maximum capacity. To counteract this mechanism, researchers in Japan have developed an innovative concept employing blood purification to remove the overwhelming cytokines. This book describes the use of hemodiafiltration to inhibit the cytokine storms which cause serious organ damage in patients with septic shock. Moreover, the technical construction of the blood purification system, which includes various machines, devices, membranes, fluids, etc., is explained in detail. Finally, leading experts discuss the concept of continuous renal replacement therapy as the standard care in critically ill patients with severe acute kidney injury. Describing the current state of acute blood purification, this publication provides new impulses and opens new avenues in the treatment of acute organ damage.

Principles And Practice Of Dialysis

Author: William L. Henrich
Editor: Lippincott Williams & Wilkins
ISBN:
File Size: 45,49 MB
Format: PDF, Kindle
Read: 7808
Download


The International Journal Of Artificial Organs

Author:
Editor:
ISBN:
File Size: 72,36 MB
Format: PDF
Read: 662
Download


Complications Of Dialysis

Author: Norbert Lameire
Editor: CRC Press
ISBN: 9780824745295
File Size: 27,56 MB
Format: PDF, ePub, Mobi
Read: 3295
Download

Responding to the rising number of ESRD patients and the increasing importance of dialysis care and management, Complications of Dialysis provides a comprehensive, multidisciplinary perspective on the latest therapy options-addressing complications that may arise from dialysis and utilizing the patient-, technique-, and relationship-oriented approa

Does Nurse Management Effect Continuous Renal Replacement Therapy Downtime

Author: Lisa Gardner
Editor:
ISBN:
File Size: 52,88 MB
Format: PDF, ePub, Docs
Read: 6412
Download

A retrospective chart review investigating the difference in continuous renal replacement therapy (CRRT) downtime between an autonomous management by the critical care nurse and a collaborative management between the critical care nurse and dialysis nurse.

Acute Renal Failure

Author: Bruce A. Molitoris
Editor: W B Saunders Company
ISBN:
File Size: 15,38 MB
Format: PDF, ePub, Docs
Read: 6579
Download

The most common reason for a renal consult in a hospitalized patient is acute renal failure (ARF). This new companion book to Brenner and Rector's THE KIDNEY provides the reader with the complete information necessary to understand, diagnose, and treat this serious and challenging condition. The first part of the book describes recent progress in the understanding of the pathophysiology of ARF, explaining the tremendous strides in the molecular and cellular aspects of cell injury and recovery. The remainder (and majority) of the text emphasizes the clinical spectrum and management of the different disease processes causing ARF. In these chapters, ARF is discussed in terms of its many associated disease processes such as pigment nephropathy, burns, infectious disease, and gastrointestinal and liver disease. This format allows for rapid referral and an in-depth understanding of all clinical aspects of ARF, including its most important aspect of management: to prevent the disease from becoming chronic, ultimately leading to dialysis and then transplantation. Provides the reader with a single-volume, authoritative, clinically oriented resource on ARF. Offers an in-depth analysis of recent advances in scientific and clinical aspects of acute renal failure (ARF). Covers the most recent advances in therapy, and emphasizes diagnosis, management, and prognosis. Integrates basic science with clinical diagnosis and treatment throughout. Describes in detail the mechanisms underlying the development of ARF and highlights the factors which promote recovery. Emphasizes the clinical impact of ARF according to the areas where it is most likely to be seen.

Critical Care Nephrology And Renal Replacement Therapy In Children

Author: Akash Deep
Editor: Springer
ISBN: 3319902814
File Size: 55,73 MB
Format: PDF
Read: 747
Download

This book represents an invaluable resource for professionals for the diagnosis and treatment of acute kidney injury (AKI) in children and how to select and deliver the appropriate form of renal replacement therapy (RRT). Experts from all over the globe have come together to share their wide experience in the field of Critical Care Nephrology in children. Paediatric critical care nephrology is a complex and highly specialised field, presenting challenges and management strategies that are often quite distinct from those seen in adult practice. Therefore, it is high time to address all the topics in the field of critical care nephrology in children in a unique book which is the first of its kind. This book covers the basics as well as advances in the field of Critical Care Nephrology. Each chapter is dedicated to practical aspects of a particular topic elucidating various management decision points. Each chapter is also accompanied with algorithms, figures and protocols in tabulated format. Information on how to manage specific conditions are contextualized with relevant background anatomy, physiology and biochemistry and practical examples. At the end of the chapter, there are key learning points. Paediatricians, nephrologists and paediatric intensivists, as well as paediatric critical care and nephrology nurses in all countries will find this book an invaluable reference text.

Anaesthesia And Intensive Care In Neonates And Children

Author: I. Salvo
Editor: Springer
ISBN:
File Size: 40,80 MB
Format: PDF, ePub, Docs
Read: 9293
Download

The anesthesia and intensive care in infants and children have assumed positions of primary importance in contemporary medicine. In these delicate sectors of medicine, clinical research activities must be continually supported by interdisciplinary collaborations. Neonatal and pediatric intensive care requires that all involved physicians, including the surgeon and anesthesiologist, be willing to work together as a team. However, coordination of the various pathophysiological and clinical aspects of neonatal and pediatric critical medicine is highly complex. A complete and current review of the anaethesia and intensive care of infants and children must include discussions of morbidity rates, so as to guide the clincians in choosing the diagnostic approach, as well as of monotoring techniques appropriate to support the therapeutic decision. Recent progress in intensive care medicine for infants and children has been significant.

Aacn Handbook Of Critical Care Nursing

Author: Marianne Chulay
Editor: McGraw-Hill/Appleton & Lange
ISBN:
File Size: 29,96 MB
Format: PDF, Docs
Read: 4176
Download


Aspects In Dialysis

Author: Ayman Karkar
Editor: BoD – Books on Demand
ISBN: 1789230241
File Size: 67,83 MB
Format: PDF, Docs
Read: 1296
Download

Dialysis (clearance of uremic toxins and removal of excess fluids) is a broad term for different modalities of treatment for patients with acute and end-stage kidney disease. These modalities include peritoneal dialysis, hemodialysis, hemofiltration, hemodiafiltration, and continuous renal replacement therapy for critically ill patients with acute kidney injury. Dialysis is a lifesaving measure and can be conducted in hospitals, in dialysis clinics, and at home. Recently, dialysis techniques have witnessed tremendous improvements in technology and performance. The book Aspects in Dialysis covers important aspects of dialysis-related topics and is empowered with well-established and experienced authors, who have written clear and informative chapters. It covers various aspects of dialysis modalities supported by well-established clinical studies. Aspects in Dialysis can be considered as a guide for daily practice and a reference for medical and nursing staff involved in taking care of dialysis patients.

Aacn Essentials Of Progressive Care Nursing

Author: Marianne Chulay
Editor: McGraw-Hill
ISBN:
File Size: 61,13 MB
Format: PDF, Docs
Read: 1740
Download

Written by nationally known clinical experts in acute care nursing, this textbook provides foundational information, whether you're a nurse who is to progressive care, or are a student preparing for the certification exam in progressive care nursing. You'll find a concise presentation of essential information for the safe and competent care of adult progressive care patients and their families.

Oh S Intensive Care Manual

Author: T. E. Oh
Editor: Butterworth-Heinemann Medical
ISBN:
File Size: 76,17 MB
Format: PDF, Docs
Read: 7399
Download

Provides comprehensive practical guidance on resuscitation and acute medical care.

Clinical Dialysis

Author: Allen R. Nissenson
Editor: McGraw-Hill/Appleton & Lange
ISBN:
File Size: 25,19 MB
Format: PDF, ePub, Docs
Read: 2214
Download