Chmielewski C, Zellers L, Eyer J
Crit Care Nurs Clin North Am. 1990 Mar;2(1):115-22.
CAVH has gained increasing medical acceptance, as favorable outcomes in the critically ill have proven its worth. Unfortunately, CAVH is often used as a "last ditch" effort for the patient with multisystem organ failure and septicemia. Performing the procedure in such a setting sometimes seems little more than an exercise in futility. However, as more patients such as the patient described in this case study are shown to benefit from CAVH, the nursing role needs to be examined both in performing the procedure and in caring for the critically ill patients. The nursing literature has kept abreast of the procedural aspects of CAVH. Now, critical care nurses must move on to the patient-oriented approach, share case studies, and work together to formulate nursing diagnoses, develop specialized care plans, and identify areas for nursing research.
连续性动静脉血液滤过（CAVH）在医学上已越来越被认可，因为在重症患者中取得的良好效果已证明了其价值。不幸的是，CAVH常常被用作多系统器官衰竭和败血症患者的“最后一搏”。在这种情况下进行该操作有时似乎只不过是徒劳之举。然而，随着越来越多像本案例研究中所描述的患者被证明从CAVH中受益，护理角色需要在操作过程以及对重症患者的护理方面进行审视。护理文献已经跟上了CAVH操作方面的进展。现在，重症护理护士必须转向以患者为导向的方法，分享案例研究，并共同制定护理诊断、制定专门的护理计划以及确定护理研究领域。
