V.M. BELOPUKHOV¹, V.I. KRASILNIKOV², T.S. GANEEV³, A.E. VALIULLIN³, A.V. PASHEEV³

¹Kazan State Medical Academy, 36 Butlerov St., Kazan, Russian Federation, 420012

²Republican Clinical Hospital of the MH of RT, 138 Orenburgskiy Tract, Kazan, Russian Federation, 420064

³Interregional Clinical Diagnostic Center, 12a Karbyshev St., Kazan, Russian Federation, 420101

Belopukhov V.M. — D. Med. Sc., Professor, Head of the Department of anesthesiology and intensive care medicine, tel. +7-917-920-55-70, e-mail: valerabelopuhov@rambler.ru

Krasilnikov V.I. — D. Med. Sc., Professor, Chief Researcher, tel. +7-987-296-99-03, e-mail: rkb_nauka@rambler.ru

Ganeev T.S. — Cand. Med. Sc., physician of the Department of anesthesiology and intensive care medicine № 3, tel. +7-903-306-11-45, e-mail: reanimart1@mail.ru

Valiullin A.E. — Head of the Department of anesthesiology and intensive care medicine № 1, tel. +7-917-865-01-61, e-mail: albert-rean@mail.ru

Pasheev A.V. — Cand. Med. Sc., physician of the Department of anesthesiology and intensive care medicine № 1, tel. +7-927-674-46-80, e-mail: reanimart1@mail.ru

The purpose of our study is optimization of the applying renal replacement methods in the treatment of acute renal failure, following cardiac surgery. Matherial and methods. Under our observation were 128 cardiosurgical patients, who required renal replacement therapy for the treatment acute renal failure. The 80 patients received prolonged methods (A group) and the 48 patients received intermittent methods (B group) of the renal replacement therapy. Results. It was revealed, that prolonged methods have more hemodynamic and water-saline stability, but they had more events of hypocoagulation. Conclusion. Applying of prolonged renal replacement methods is justified for the treatment patients with severe heart failure. Introduction of the prolonged methods with citrate anticoagulation supports the coagulation stability.

Key words: acute renal failure, renal replacement therapy, cardiosurgery.

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