Continuous renal replacement therapy for critically ill patients ... | 合法醫療器材資訊網

由EFvanBommel著作·1994·被引用47次—Continuousrenalreplacementtherapy(CRRT)isnowincreasinglyacceptedasthepreferredtreatmentmodalityinthemanagementofARFinthesepatients.The​ ...

Despite continuous progress in intensive care during the last decades, the outcome of critically ill patients in whom acute renal failure (ARF) develops is still poor. This outcome may be explained partially by the frequent occurrence of ARF as part of multiple organ systems failure (MOSF). In this complex and unstable patient population, the provision of adequate renal support with either intermittent hemodialysis or peritoneal dialysis may pose major problems. Continuous renal replacement therapy (CRRT) is now increasingly accepted as the preferred treatment modality in the management of ARF in these patients. The technique offers adequate control of biochemistry and fluid balance in hemodynamically unstable patients, thereby enabling aggressive nutritional and inotropic support without the risk of exacerbating azotemia or fluid overload. In addition, experimental and clinical data suggest that CRRT may have a ben...