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Continuous venovenous renal replacement therapy in critically ill patients: A work load analysis
Marjorie Houllé-Veyssière1, Audrey Courtin1, Norddine Zeroual1
1Département d'anesthésie réanimation Arnaud de Villeneuve, Centre Hospitalier Régional et Universitaire, F-34295 Montpellier, France.
Intensive & Critical Care Nursing
|June 11, 2016
Summary
Nursing workload for continuous renal replacement therapy (CRRT) techniques was similar. Dialysis with citrate anticoagulation may offer benefits for nursing workload due to filter longevity and predictability.
Area of Science:
- Nephrology
- Critical Care Medicine
- Nursing Science
Background:
- Continuous renal replacement therapy (CRRT) is a vital treatment in intensive care units.
- Different CRRT techniques exist, each with potential implications for nursing care demands.
- Understanding nursing workload is crucial for efficient resource allocation and patient care.
Purpose of the Study:
- To compare the nursing workload associated with two distinct CRRT techniques.
- To evaluate the time spent by nurses in managing CRRT, including circuit preparation and biological monitoring.
Main Methods:
- Retrospective analysis of nursing workload in a cohort of 60 patients over 10 months.
- Comparison of two CRRT methods: hemodiafiltration with systemic heparin anticoagulation and dialysis with regional citrate anticoagulation.
- Nursing workload quantified by time spent on CRRT management and associated controls.
Main Results:
- Overall nursing workload (% of total nursing care time) was comparable between hemodiafiltration (12.3%) and dialysis (13.4%) (P=0.06).
- Workload distribution differed: hemodiafiltration required more time for circuit preparation, while dialysis involved more time for biological controls.
- A total of 202 CRRT sessions were analyzed.
Conclusions:
- The total nursing time dedicated to CRRT is similar across the compared techniques.
- Dialysis with regional citrate anticoagulation may present advantages for nursing workload due to potentially longer filter duration and improved circuit predictability.
- Further investigation into factors influencing nursing workload in CRRT is warranted.
Keywords:
Continuous renal replacement therapyICU nurse staffNursing activityNursing work loadRegional citrate anticoagulationMore Related Videos
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