【持续性肾脏替代治疗crrt英文精品课件】arf in icu

ARFinICU fromonlyrenalreplacementtherapytomultipleorgansupporttherapy MOST RoncoC BellomoR 2002 RRT RRT MOST RoncoC etal Artif Organs 2003 27 MOST J A Kellum R Bellomo R Mehtaetal BloodPurif 2003 1 CRRT 1 2 Super highflux utoff 60kD 3 Qf HVHF JournoisD Davenport 11 6 IntensiveCareMed 2001 27 6 J Tao D Jietal 10 6 72 BloodPurif 2004 22GhaniR ZainudinS etal 15 100 18 35 Nephrology2006 11 5 CHF 3 5 IL1 IL6 IL8 IL6 4 2 0 05 IL6 HVHF 0 02 SIRS CRRT A A House C Ronco BloodPurif 2008 v26 ARFinICU fromonlyrenalreplacementtherapytomultipleorgansupporttherapy MOST RoncoC BellomoR 2002 RRT ARFinICU fromonlyrenalreplacementtherapytomultipleorgansupporttherapy MOST RoncoC BellomoR 2002 RRT MOST CRRT Tumorlysissyndrom HVHF 70 P M Honore J Jamezetal 2000 20 Joannes BoyauO RapaportS 2004 24 40 60 4c RatanaratR BrendolanA 2006 15 PulseHVHF85 6 8 2 4 55 28 46 HVHF LaurentI AdrieC etal JAmCollCardiol 2005 v46 3 2 61 1 2 HVHF200 8 3 HVHF24 32 6 1 0 292 3 0 21 CRRT IL 6 IL 8 3a 5b T Koperna S E Vogl 1998 7 7 7 RieraJ etal 1997 JingTaoetal 2004 9 33 NikiforovIu V 2006 13 HVHF CHF PicciniP DanMetal IntensCareMed 2006 32 80 PulseHVHF n40 45 12 vsCHF n40 20 HVHF 1 2 Fi 2 240vs1602 70 vs 30 3 11 vs30 4 28 55 45 vs 27 5 70 0 05 CRRT Tumorlysissyndrom CRRT 37 51 4 11 6 SIRS 88 9 73 7 p 0 01 JiangH etal WorldJ Gastroenterol 2005 v 11 31 100 CRRT 10 39 vs20 0 01GettingsL G etal Intens CareMed 1999 25 8 BilodeauM L etal 5thIntern CRRTConf 2000SmithC etal 7thIntern CRRTConf 2002 arusoD M etal 7thIntern CRRTConf 2002 CRRT Tumorlysissyndrom ADQIClassificationforHeartFailure ClassI Ia 5 10 Ib 10 20 Ic 20 Id organdysfunctionsClassII Acuteheartfailure withorwithoutARF IIa Post cardiacsurgeryIIb thers ClassIII ChronicheartfailureIIIa StableIIIb Acutedecompensation iUF iUF SCUF C Roncoetal 1999 CHF SCUF SCUF CHF CHF CRRT Tumorlysissyndrom CRRT A Davenport Amer J Kidn Desease 2001 v 57M L Moritz from Sepsis KidneyandMODs 2004 Na CRRT Na Na 9 8 maxNa 202 max 455 McBrydletal 6Intern Conf CRRT 2001 San DiegoLinJ J etal Ped Nephrol 2002 17BunchmanT E etal Pediatr Crit Care 2005 6 2 ChangY F etal Nephrol Dial Transpl 2005 20 9 ARFinICU fromonlyrenalreplacementtherapytomultipleorgansupporttherapy MOST RoncoC BellomoR 2002 RRT MOST RRT LevyM etal CritCareMed 2005 33 440 SugaharaSetal Hemodial Int2004 8 30 2 5 2 2 30 3 Cr 44 M Elahietal EurJCardiothoracSurg2004 26 28 80 60 vs40 0 05 22 vs43 0 05 14 MehtaR I PascualM T etal JAMA 2002 288 552 BUN 14 3 Cr 177 Cr 88 4 400 1 2 n326 OR 1 68 OR 1 79 1 2 3 1 OR 3 6 7 1 RRT MOST RRT ARFinICU fromonlyrenalreplacementtherapytomultipleorgansupporttherapy MOST RoncoC BellomoR 2002 RRT MOST CRRT CHF35 60 vs20 16 25 3 RoncoC BellomoR etal 2001 PicciniP etal 2006 LaurentI etal 2005 CHDF35 vs20 QD Qf ATN Study NEJM 2008 v357 1 RRT MOST CRRT 35 iHD1 2 1 4 KT V J A Kellum 6 2008 CRRT 35 R Bellomo R Mehta C Roncoetal BloodPurification 2003 1W R Clark BloodPurification 2006 v24 5 6 ARFinICU fromonlyrenalreplacementtherapytomultipleorgansupporttherapy MOST RoncoC BellomoR 2002 RRT MOST RRT SLED d ADQI Workgroup1 2005 RRT 1 2 CHF35 18 Highflux 7 LiaoZ etal Artificialorgans 2003 272 1262 BESTKidneyStudy CRRT 11 iHD SLED HDF 35 0 001 W R Clark BloodPurification 2006 v24 5 6 CRRT SLED SLED d 30 CRRT 15 vs5 0 001 I Yegenaga R Vanholderetal 9 thInt CRRTConf 2004 SLED d 27 E Q Limaetal 13thIntern CRRTConf 2008 SLED HDF 8 8 12 6 NacaT R Bellomoetal IntensiveJ Artific Organs 2004 v27 5 RRT MOST CRRT J A Kellum 6 2008 CRRT iHD SLED W R Clark BloodPurification 2006 v24 5 6 ARFinICU fromonlyrenalreplacementtherapytomultipleorgansupporttherapy MOST RoncoC BellomoR 2002 RRT MOST HIT heparin inducedthrombopeniawiththrombosis HELLP MODs ADQI 2005 TrungC Nguyenetal CriticalCare 2006 10 PolymyxinB adsorbtionTaniT etal 1999D N Cruzetal CriticalCare2007 11 PFAC Tettaetal 1998 2004 MiwaK FukuyamaMetal 2003 2006 LPS IL6 IL1 IL10 TNF HMGB1 PAI1 TNF IL1 IL10 IL1 r TSST 1 Staph ureus LPS TNF IL1 SIRS D N Cruzetal CriticalCare 2007 11 ARFinICU fromonlyrenalreplacementtherapytomultipleorgansupporttherapy MOST RoncoC BellomoR 2002 RRT MOST