[Mobile single-pass batch hemodialysis system in intensive care medicine. Reduction of costs and workload in renal replacement therapy].
This paper describes the introduction of a single-pass batch hemodialysis system for renal replacement therapy in a 14 bed intensive care unit. The goals were to reduce the workload of intensive care unit physicians using an alternative and simpler method compared to continuous veno-venous hemodiafiltration (CVVHDF) and to reduce the costs of hemofiltrate solutions (80,650 EUR per year in our clinic in 2005). We describe and evaluate the process of implementation of the system as well as the achieved and prospective savings. We conclude that a close cooperation of all participants (physicians, nurses, economists, technicians) of a hospital can achieve substantial benefits for patients and employees as well as reduce the economic burden of a hospital.
Hopf
H-B
HB
Abteilung für Anästhesie und Perioperative Medizin, Asklepios Klinik Langen, Akademisches Lehrkrankenhaus der Johann Wolfgang Goethe-Universität Frankfurt am Main, Röntgenstrasse 20, 63225 Langen. h-b.hopf@asklepios.com
Hochscherf
M
M
Jehmlich
M
M
Leischik
M
M
Ritter
J
J
D003363:Cost Control; D006440:Hemofiltration / Q000191:economics / Q000295:instrumentation; D006801:Humans; D007362:Intensive Care Units / Q000191:economics* / Q000458:organization & administration; D006435:Renal Dialysis / Q000191:economics* / Q000295:instrumentation*; D017582:Renal Replacement Therapy / Q000191:economics* / Q000295:instrumentation*; D000078329:Workforce; D016526:Workload