Which dialysis method should be used for patients with COVID-19?
| Autor: | Vincent Anthony S. Tang, Jayson M. Villavicencio, Patricia Maria Gregoria Mina-Cuaño, Cary Amiel G. Villanueva, Andrew Rufino M. Villafuerte, Lia M. Palileo-Villanueva, John Jefferson V. Besa |
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| Rok vydání: | 2020 |
| Předmět: |
Nephrology
Mechanical ventilation medicine.medical_specialty business.industry medicine.medical_treatment Acute kidney injury Retrospective cohort study General Medicine medicine.disease Clinical trial Internal medicine medicine Infection control Intensive care medicine business Personal protective equipment Dialysis |
| Zdroj: | Acta Medica Philippina. 54 |
| ISSN: | 2094-9278 0001-6071 |
| DOI: | 10.47895/amp.v54i0.1873 |
| Popis: | KEY FINDINGS• Very low-quality evidence from a single retrospective study suggests that continuous renal replacementtherapy (CRRT) may reduce mortality among COVID-19 patients on invasive mechanical ventilation. Guidelinesrecommend CRRT for critically ill patients to minimize the risk of possible transmission, if this option is available.• Although uncommon, acute kidney injury (AKI) can occur in association with coronavirus disease 2019(COVID-19) and is associated with increased in-hospital mortality.• There are currently no published or ongoing clinical trials directly comparing dialysis modalities for acutekidney injury in COVID-19 patients.• In reducing the risk of transmission during dialysis: currently, there are no studies comparing one dialysismodality to another. The method of dialysis is still primarily determined by the clinical picture of the patient, theexpertise of the center, and the resources available. The American Society of Nephrology (ASN) recommendsCRRT over intermittent hemodialysis (IHD) for critically ill patients with COVID-19 to minimize patient contactwhen it is available, and resources allow. Otherwise, intermittent hemodialysis may be done provided that,infection control measures are strictly followed.• Several international and local guidelines recommend strict adherence to infection prevention and controlmeasures (e.g. hand hygiene, physical distancing, proper use of personal protective equipment (PPE), andcohorting of patients) who are undergoing dialysis. |
| Databáze: | OpenAIRE |
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