在重症监护病房实施肾脏替代治疗时的挑战与陷阱。
Challenges and pitfalls when implementing renal replacement therapy in the ICU.
作者信息
Mehta Ravindra L
出版信息
Crit Care. 2015;19 Suppl 3(Suppl 3):S9. doi: 10.1186/cc14727. Epub 2015 Dec 18.
Abstract
Several new methods of renal replacement therapy (RRT) are now available for treating patients in the ICU setting. However, utilization of RRT in the ICU is subject to considerable variation and the need for RRT is associated with worse outcomes. Several factors influence the application of dialysis and reflect the interplay of patient and process of care elements that are dynamic in nature. Despite multiple studies evaluating RRT and its application, there are gaps in our knowledge that must be overcome to improve outcomes. This article discusses some of the important issues that require attention in delivering RRT in critically ill patients and provides a framework for the optimal use of RRT in the ICU.
摘要
目前有几种新的肾脏替代治疗（RRT）方法可用于治疗重症监护病房（ICU）的患者。然而，ICU中RRT的使用存在很大差异，且RRT的需求与更差的预后相关。有几个因素影响透析的应用，并反映了患者与护理过程中本质上动态变化的要素之间的相互作用。尽管有多项研究评估RRT及其应用，但我们的知识仍存在差距，必须加以克服以改善预后。本文讨论了在为重症患者提供RRT时需要关注的一些重要问题，并提供了在ICU中优化使用RRT的框架。
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