Mendez-Jesus IA, Sanabria-Cordero D, Trejo-Rosas S, Cerón-Maldonado MM, Orejel-Feria TG

Language: Spanish
References: 13
Page: 127-132
PDF size: 342.21 Kb.

ABSTRACT

As a result of the pandemic, there is a need to perform maneuvers to improve gas exchange and reduce any hypoxemia mechanism suffered by the patient with Acute Respiratory Distress Syndrome (ARDS).
The incidence of acute kidney injury in critically ill patients varies between 35-50%, the main cause being secondary to sepsis. Currently, most critical areas perform renal function replacement therapy with a continuous slow therapy modality, due to the advantage of being used in patients with hemodynamic and respiratory deterioration. The success of good continuous renal replacement therapy depends on the successful functioning of the venous access and the catheter chosen; in adults, a double-lumen catheter of 11-13.5 French is preferred for each lumen.
COVID-19 is responsible for one million complications of infections in the world, at least 5% to 10% of those infected evolved to severe ARDS. Many of these patients require venous access for renal replacement therapy, however, the prone position that is often used can complicate the jugular or subclavian access that are usually used.
This review aims to understand the technique, indications, and contraindications of popliteal access for renal replacement therapy in patients in the prone position in critical areas.

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