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: [email protected]

Krasilnikov V.I. — D. Med. Sc., Professor, Chief Researcher, tel. +7-987-296-99-03, e-mail: [email protected]

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: [email protected]

Valiullin A.E. — Head of the Department of anesthesiology and intensive care medicine № 1, tel. +7-917-865-01-61, e-mail: [email protected]

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: [email protected]

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.