Techniques de dialyse en réanimation pédiatrique
| Autor: | Pierre Bétrémieux, Olivier Tirel, C. Ecoffey, T. Gaillot, B. Ozanne |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Nephrology
Pediatric intensive care unit medicine.medical_specialty business.industry medicine.medical_treatment 030232 urology & nephrology Acute kidney injury General Medicine medicine.disease 3. Good health Peritoneal dialysis 03 medical and health sciences 0302 clinical medicine Anesthesiology and Pain Medicine Intensive care Internal medicine medicine 030212 general & internal medicine Renal replacement therapy Hemodialysis Intensive care medicine business Dialysis |
| Zdroj: | Annales Françaises d'Anesthésie et de Réanimation. 32:e231-e236 |
| ISSN: | 0750-7658 |
| Popis: | In pediatric intensive care unit, the available modalities of acute renal replacement therapy include intermittent hemodialysis, peritoneal dialysis and continuous renal replacement therapies. No prospective studies have evaluated to date the effect of dialysis modality on the outcomes of children. The decision about dialysis modality should therefore be based on local expertise, resources available, and the patient's clinical status. Poor hemodynamic tolerance of intermittent hemodialysis is a common problem in critically ill patients. Moreover, many pediatric intensive care units are not equipped with dedicated water circuit. Peritoneal dialysis, a simple and inexpensive alternative, is the most widely available form of acute renal replacement therapy. However, its efficacy may be limited in critically ill patients. The use of continuous renal replacement therapy permits usually to reach a greater estimated dialysis dose, a better control of fluid balance, and additionally, to provide adequate nutrition. |
| Databáze: | OpenAIRE |
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