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  • Comparison of intermittent and prolonged methods of renal replacement therapy in the treatment of renal failure following cardiac surgery

    Редакция | 2015, Practical medicine 04 (15) Innovative technologies in medicine. Part 1 | 15 июня, 2015

    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.

     

     

    REFERENCES

    1. Kiselev V.O., Podoksenov Yu.K., Ponomarenko I.V. et al. Acute renal failure in the structure of complications after circulatory support in cardiac surgery. Nefrologiya i dializ, 2005, no. 3, pp. 394-395 (in Russ.).
    2. Davenport A. Problems with anticoagulation. Complications of dialysis: recognition and management; eds N. Lameire, R. Mehta. Marcel, Dekker, Boston, 1999.
    3. Uchino S., Bellomo R., Ronco C. Intermittent versus continuous renal replacement therapy in the ICU: impact on electrolyte and acid-base balance. Intensive Care Medicine, 2001, vol. 27, pp. 1037-1043.
    4. Tetta C., Bellomo R., Kellum J. et al. High volume hemofiltration in critically ill patients: why, when and how? Contrib. Nephrol., 2004, vol. 144, pp. 362-375.

     

    Метки: A.E. VALIULLIN, A.V. PASHEEV, acute renal failure, cardiosurgery, Practical medicine 04 (15) Innovative technologies in medicine. Part 1, renal replacement therapy, T.S. GANEEV, V.I. KRASILNIKOV, V.M. BELOPUKHOV

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