Richardson Annette, Whatmore Jayne
Freeman Hospital, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne NE7 7DN, UK.
Nurs Crit Care. 2015 Jan;20(1):8-15. doi: 10.1111/nicc.12120. Epub 2014 Oct 28.
This article aims to guide critical care nurses with the care and management of patients on continuous renal replacement therapy (CRRT).
CRRT, a highly specialized therapy involving complex nursing care, is used widely in the intensive care unit to treat patients with acute kidney injury.
A literature search was conducted using CINAHL, Medline from PubMed and BNI using the search terms CRRT or continuous veno-venous haemofiltration and nursing or nurses from 2000 onwards and limited to the English language. The appraised evidence and expert opinion is used in this article.
Four essential nursing principles for CRRT are reviewed (1) the importance of continuous assessment of the indications to influence the appropriate mode; (2) ensuring good vascular access; (3) the avoidance of unnecessary interruptions and (4) the prevention of complications.
The identified four essential nursing principles provide guidance on this complex aspects of nursing practice. Specific nursing research to guide the care and management of this therapy is limited so should be explored in the future.
Critical care nurses caring for and managing patients on CRRT require an understanding of how to deliver safe CRRT.
本文旨在指导重症护理护士对接受持续肾脏替代治疗（CRRT）的患者进行护理和管理。
CRRT是一种涉及复杂护理的高度专业化治疗方法，在重症监护病房中广泛用于治疗急性肾损伤患者。
使用CINAHL、来自PubMed的Medline和BNI进行文献检索，检索词为CRRT或持续静脉-静脉血液滤过以及护理或护士，时间范围从2000年起，仅限于英文文献。本文采用了经评估的证据和专家意见。
回顾了CRRT的四项基本护理原则：（1）持续评估适应症以影响合适模式的重要性；（2）确保良好的血管通路；（3）避免不必要的中断；（4）预防并发症。
确定的四项基本护理原则为护理实践的这一复杂方面提供了指导。指导该治疗护理和管理的具体护理研究有限，因此未来应加以探索。
护理和管理接受CRRT治疗患者的重症护理护士需要了解如何提供安全的CRRT。
