Arévalo ES, Rodríguez HML, Galván ÁM, Vaca DG, Aguirre HC, Gómez VA, Escobedo FD

Language: Spanish
References: 11
Page: 162-165
PDF size: 47.04 Kb.

ABSTRACT

Objective: To show our experience with use of Continuos Renal Replacement Therapy (CRRT) on patients with acute renal failure in our hospital. Design: Retrospective and descriptive study. Setting: Cardiovascular postoperative ICU of a tertiary care hospital, Monterrey, Mexico. Patients: Five patients (mean age 59.6 + 22.7 years) with ARF and multiple organ dysfunction (MOD) were included. Interventions: CRRT procedures (continuous venous-venous hemofiltration [CVVHF], continuous venous-venous hemodialysis [CVVHD] and continuous venous-venous hemodiafiltration [CVVHDF]) with a full automated system (Prisma) were performed. Measurements and main results: CVVHD, CVVHDF and CVVH were made in five, three and two procedures, respectively. The length of CRRT was 27.9 hours (range 10-72 h). Serum BUN, urea and creatinine decreased 50% at the end of procedure in comparison with the initial values. Four patients died. Conclusion: CRRT is useful for the treatment of ARF of ICU patients, however the mortality is still high.

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