Related Experiment Videos
Continuous renal replacement therapy in critically ill patients with renal failure
D Malakar1, P P Thomas, C K Jacob
1Department of Nephrology, Christian Medical College and Hospital, Vellore.
Summary
Continuous veno-venous haemodiafiltration (CVVHD) effectively removed solutes and fluid in critically ill patients with renal failure. This dialysis technique proved safe and simple, with filter clotting being the primary complication.
Area of Science:
- Nephrology
- Intensive Care Medicine
- Renal Replacement Therapy
Background:
- Critically ill patients with renal failure often require renal replacement therapy.
- Continuous haemodiafiltration combines convective and diffusive solute clearance.
Purpose of the Study:
- To evaluate the efficacy and safety of continuous veno-venous haemodiafiltration (CVVHD) in critically ill patients with renal failure.
Main Methods:
- CVVHD was performed on critically ill patients with renal failure.
- Patients included those on inotropic support and mechanical ventilation.
Main Results:
- Adequate solute and fluid removal was achieved in all patients undergoing CVVHD.
- The main complication observed was filter clotting.
- The procedure was demonstrated to be simple and safe.
Conclusions:
- CVVHD is an effective and safe renal replacement therapy for critically ill patients with renal failure.
- The procedure can be performed by staff without specialized dialysis training.
- Filter clotting is the primary limitation of CVVHD.