CONTINUOUS RENAL REPLACEMENT THERAPY: OUR EXPERIENCE IN INTENSIVE CARE UNIT

Autor:	G. Splendiani, V. Mazzarella, Valentina Mazzarella, S. Cipriani, D. Zazzaro, C. U. Casciani
Rok vydání:	2001
Předmět:	Adult Male medicine.medical_specialty Multiple Organ Failure medicine.medical_treatment Renal function Critical Care and Intensive Care Medicine law.invention Nursing care law Humans Medicine Renal Insufficiency Renal replacement therapy Intensive care medicine Dialysis Aged Aged 80 and over business.industry Incidence (epidemiology) General Medicine Middle Aged medicine.disease Intensive care unit Renal Replacement Therapy Systemic inflammatory response syndrome Intensive Care Units Nephrology Female business Kidney disease
Zdroj:	Renal Failure. 23:259-264
ISSN:	1525-6049 0886-022X
DOI:	10.1081/jdi-100103497
Popis:	Continuous Renal Replacement Therapy (CRRT) indication is still discussed. We report our experience on 98 patients affected with Multiple Organ System Failure (MOSF) and renal failure (acute or chronic) requiring dialysis and timely treated by CRRT. Mortality after 5 days of ICU permanence was 60.2%; the remaining 39 patients were discharged within 21 days and received CRRT treatment for 6.36 +/- 5.59 days. APACHE II score was not able to predict the outcome of patients suffering from acute renal failure (ARF). On the contrary, Systemic Inflammatory Response Syndrome (SIRS) incidence was significantly higher in deceased patients compared to recovered patients. In conclusion, it is important to start dialytic treatment immediately when patients affected with MOSF show renal function damage, even if at an initial stage, in order to improve patients' survival. Moreover a multidisciplinary approach is preferable in ICU patients treatment for not underestimating the management of metabolic and infective complications, the nursing care, and nutritional support.
Databáze:	OpenAIRE
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