[A present-day variant of intermitttent replacement renal therapy in patients with multiple organ failure after cardiovascular surgery].
The efficiency of "semi-prolonged" replacement renal therapy (RRT) was assessed in patients with multiple organ dysfunction (MOD) after cardiovascular surgery. The results of semiprolonged RRT are analyzed in 65 patients (36-69 years, mean age 52.4 +/- 15.7 years, body weight 57-105 kg, mean 79.4 +/- 21.6 kg) operated on at A. N. Bakulev Cardiovascular Surgery Center, Russian Academy of Medical Sciences. Bicarbonate hemodialysis (BHD) was carried out in 50 patients, on-line hemodiafiltration (HDF) in the rest patients. Interventions on the heart and vessels of different complexity were carried out. The results indicate that semiprolonged SRT in complex with intensive care measures notably reduced the mortality of patients with MOD and improved the survival rate in this category of patients. Semiprolonged RRT is an effective method, which can and should be used in critical patients. This method meets all the requirements to modern RRT and ensures adequate filtration of nitrous metabolism products, corrects water-electrolyte and acid base balance, allows infusion/transfusion therapy and parenteral nutrition, and has no negative impact on the hemodynamic values, which is particularly important after cardiovascular interventions.
Iarustovskiĭ
M B
MB
Grigor'iants
R G
RG
Strakhov
D G
DG
Banketov
Ia V
IaV
Geptner
R A
RA
Abramian
A V
AV
Shipova
E A
EA
D000328:Adult; D000368:Aged; D001018:Aortic Diseases / Q000601:surgery; D013504:Cardiovascular Surgical Procedures; D006349:Heart Valve Diseases / Q000601:surgery; D019918:Heart Valve Prosthesis Implantation; D006439:Hemodynamics; D006440:Hemofiltration; D006801:Humans; D007677:Kidney Function Tests; D008875:Middle Aged; D009102:Multiple Organ Failure / Q000628:therapy*; D009204:Myocardial Revascularization; D011183:Postoperative Complications; D006435:Renal Dialysis; D013997:Time Factors