الفهرس | Only 14 pages are availabe for public view |
Abstract CRRT is now firmly established as a form of artificial renal support in the ICU. In many units and in many countries, it has superseded IHD. Intensivists have begun to use CRRT independently, and are now exploring the opportunities that CRRT provides as an adjunctive treatment for severe sepsis. In particular in patients, such as those with heart failure, acute liver failure or cerebral oedema, CRRT is easy to conduct, is safe and flexible, and it will easily become the only form of artificial renal support in the ICU. The treatment of ARF with hemofiltration can be continuous arterial venous hemofiltration with or without dialysis or continuous venovenous hemofiltration with or without dialysis. Pediatric studies to date have demonstrated the ease and simplicity of CAVH but, have also demonstrated the lack of obtainable prescription for CRRT when using CAVH. Blood flow for CAVH depends on adequate cardiac output and is negatively influenced by a high hematocrit, making CAVH mostly of historical interest. Pump-assisted CVVH is considered, the standard for CRRT in children and adults. This form of CRRT can be convective, diffusive, or a combination of both continuous venovenous hemodiafiltration. |