Continous Renal Replacement Therapy in intensive care unit of Cho Ray hospital
- Author:
Truong Ngoc Hai
- Publication Type:Journal Article
- Keywords:
Continous Renal Replacement
- MeSH:
Renal Replacement Therapy;
Intensive Care
- From:Journal of Practical Medicine
2005;515(7):85-88
- CountryViet Nam
- Language:Vietnamese
-
Abstract:
From October 2004 to March 2005, 13 acute renal failure patients were treated by Continuous Renal Replacement Therapy (CRRT) in Cho Ray hospital. Results: Multiple trauma accounted for 31%, sepsis 31%, multiple system organ failure 15%, APACHE II score were 24.97 6.35. Continuous Intravenous Hemodialysis (CVVHD) had been performed in 39% of patients, CVVH 31%, CVVHDF 15% and SCUF 15%. Patients’ serum concentration of creatinine and BUN decreased step by step and stable. Serum concentrations of creatinine and BUN before and after CRRT were 5.60 2.34 mg% and 49.60 35.19 mg%, respectively. Mean duration of CRRT was 28.0 10.9 hours. 8/13 patients partly recovered their renal functions. Mortality rate was 61.54%. Hemodynamic instability patients (76.92%) were well-tolerated with CRRT. Applying dose of ultrafiltration 35 ml/kg/h for septic patients improved dose and time of increased mean blood pressure. During over 400 hours of CRRT, there were not yet major complications reported.
