Progress on volume status assessment during continuous renal replacement therapy
10.3760/cma.j.issn.1673-4912.2022.08.014
- VernacularTitle:持续性肾脏替代治疗中容量状态评估的研究进展
- Author:
Xue LIU
1
;
Jing LI
Author Information
1. 重庆医科大学附属儿童医院重症医学科,国家儿童健康与疾病临床医学研究中心,儿童发育疾病研究教育部重点实验室,儿科学重庆市重点实验室 400014
- Keywords:
Continuous renal replacement therapy;
Critically ill children;
Volume status
- From:
Chinese Pediatric Emergency Medicine
2022;29(8):641-645
- CountryChina
- Language:Chinese
-
Abstract:
Continuous renal replacement therapy(CRRT)is an important treatment in the pediatric intensive care unit .However, CRRT needs to establish cardiopulmonary bypass.During the initial period of cardiopulmonary bypass , ultrafiltration and blood return, CRRT causes a rapid change of the body′s circulating blood volume due to the transfer of a large amount of fluid, resulting in hemodynamic instability.So accurate and real-time assessment of volume status during CRRT has an extremely important impact on reducing potential abnormal hemodynamic fluctuations and improving the prognosis of critically ill children.This review summarized the volume status assessment during CRRT in critically ill children.