González-Soler JB, Manzano-Serrano M, Manzano-Serrano PA, Espín-García GA, Bordies-Lavin YL, Vázquez-Caballero AY, Rodríguez-Almanza L

Language: Spanish
References: 15
Page: 1447-1458
PDF size: 1938.72 Kb.

ABSTRACT

Acute kidney failure is defined as the loss of kidney function caused by various causes, including infection and drug intake. This entity has high morbidity and mortality in critical care units. Treatment ranges from renal protection to artificial replacement of the functions of the injured kidney. Currently, continuous renal replacement therapy has been used as renal support, and offers greater clinical stability to the most unstable patients. In this review, authors discuss concepts, indications and the most recent studies that validate the use of this therapeutic, as well as the programming method that was used in a patient with diagnosis of icteric-hemorrhagic leptospirosis (Weil syndrome), who was in septic shock with multiorgan dysfunction, where this therapy was used with satisfactory results.

REFERENCES

1. Farreras Rozman C. Leptospirosis. En: Rozman Borstnar C, Cardellach López F, eds. Farreras Rozman. Medicina Interna [Internet]. 19 ed. Madrid: Elsevier Health Sciences; 2020 [citado 23/11/2020]. Disponible en: Disponible en: https://tienda.elsevier.es/farreras-rozman-medicina-interna-9788491135456.html

2. Valdenebro M, Martín-Rodríguez L, Blanca Tarragón P, et al. Una visión nefrológica del tratamiento sustitutivo renal en el paciente crítico con fracaso renal agudo: horizonte 2020. Nefrología [Internet]. 2021 [citado 23/11/2020];41(2). Disponible en: Disponible en: https://www.revistanefrologia.com/es-una-vision-nefrologica-del-tratamiento-articulo-S0211699520301703

3. Fokko PW, Søndergaard H, Stephen A. Father of Artificial Organs ‐ The story of medical pioneer Willem J. Kolff (1911‐2009). Artif Organs. 2021 Oct;45(10):1136-40. Citado en PubMed; PMID: 33948975.

4. Jeanne L. Belding Scribner. BMJ. 2003 Jul 19;327(7407):167. Citado en PubMed; PMID: 1126537.

5. Vergara Ramírez JJ. Epidemiología de la terapia de reemplazo renal continuo para pacientes en estado crítico en las unidades de cuidado intensivo de hospitales de tercer nivel en Pereira durante el período comprendido entre los años 2012 y 2015 [tesis en Internet]. Pereira, Colombia: Universidad Tecnológica de Pereira; 2016 [citado 13/11/2020]. Disponible en: Disponible en: http://repositorio.utp.edu.co/dspace/bitstream/handle/11059/8375/61661R173.pdf?sequence=1&isAllowed=y

6. Lovesio C. Medicina Intensiva. 6ta.ed. Buenos Aires: Editorial CORPUS; 2008. p. 1551-66.

7. Andrew Rhodes MB, Evans LE. Campaña para sobrevivir a la sepsis: recomendaciones internacionales para el tratamiento de la sepsis y el choque septicémico: 2016. Critical Care Medicine [Internet]. 2017 [citado 23/10/2020];45(3). Disponible en: Disponible en: https://www.sccm.org/getattachment/SurvivingSepsisCampaign/Guidelines/Adultatients/SurvivingSepsisCampaignInternational_Spanish_2018.pdf?lang=en-US

8. Lakhmir S, Rinaldo Bellomo C, Bihorac A. Acute kidney disease and renal recovery: Consensus report of the Acute Disease Quality Initiative (ADQI) 16 Workgroup. Nat Rev Nephrol. 2017;13(4):241-57. Citado en PubMed; PMID: 28239173.

9. Tomasa Irriguible TM, Sabater Riera J, Poch López B, et al. Manejo actual de las terapias continuas de reemplazo renal: estudio epidemiológico multicéntrico. Med Intensiva (Madrid) [Internet]. 2017 [citado 23/10/2020];41(4):216-26. Disponible en: Disponible en: https://pesquisa.bvsalud.org/portal/resource/en;/ibc-162118

10. Villa G, Ricci Z, Romagnoli S, et al. Multidimensional approach to adequacy of renal replacement therapy in acute kidney injury. Contrib Nephrol. 2016;187:94-105. Citado en PubMed; PMID: 26881756.

11. Zarbock C, Gerß J, Van Aken H, et al. Early versus late initiation of renal replacement therapy in critically ill patients with acute kidney injury (The ELAIN-Trial): Study protocol for a randomized controlled trial. Trials. 2016;17(1):148. Citado en PubMed; PMID: 26993261.

12. Yessayan L, Yee J, Frinak S, et al. Continuous renal replacement therapy for the management of acid-base and electrolyte imbalances in acute kidney injury. Adv Chronic Kidney Dis. 2016;23(3):203-10. Citado en PubMed; PMID: 27113697.

13. Wang XT, Wang C, Zhang HM, et al. Clarifications on continuous renal replacement therapy and hemodynamics. Chin Med J. 2017;130(10):1244-8. Citado en PubMed; PMID: 28485326.

14. Kirwan CJ, Hutchison R, Ghabina S, et al. Implementation of a simplified regional citrate anticoagulation protocol for post-dilution continuous hemofiltration using a bicarbonate buffered calcium containing replacement solution. Blood Purif. 2016;42(4):349-55. Citado en PubMed; PMID: 27866200.

15. Zhang M, Bai Y, Yu L, et al. Safety and efficacy of regional citrate anticoagulation for continuous renal replacement therapy in liver failure patients: A systematic review and meta-analysis. Crit Care. 2019;23(1):22. Citado en PubMed; PMID: 30678706.