EXPERIENCE OF SUSTAINED LOW EFFICIENCY DIALYSIS (SLED) - METHODS RENAL REPLACEMENT THERAPY IN TREATMENT CARDIORENAL SYNDROME WITH DIURETIC-REFRACTORY EDEMAS
https://doi.org/10.24884/1561-6274-2010-14-1-63-67
Abstract
THE AIM. To evaluate an efficiency and safety of SLED-HF/HDF (hybrid methods of renal replacement therapy) in patients with congestive heart failure and refractory volume overload. PATIENTS AND METHODS. Fourteen patients with acute decompensated heart failure and acute volume overload and diuretic-refractory edemas were given SLED-HF/HDF before and after cardiac surgery. Parametrs SLED-HF/HDF including: fluid removal 2457±128 ml during procedure, using low dialysatе flow and acetate-free dialysatе («Krebsol»). RESULTS. Edemas’ and volume overloads regression, improvement of central and pulmonal hemodynamic and renal dysfunctions were achieved in 13 patients. CONCLUSION. Adapted parameters SLED-therapy including on-line blood volume monitoring, using low dialysatе flow (6 l/hour), acetate-free dialysatе («Krebsol») allowed to reduce complications (hypothensia and arrhythmia).
About the Authors
T. V. Mukhoedova
Новосибирский научно-исследовательский институт патологии кровообращения им. акад. Е.Н.Мешалкина
Russian Federation
Russian Federation
Z. M. Unarokov
Новосибирский научно-исследовательский институт патологии кровообращения им. акад. Е.Н.Мешалкина
Russian Federation
Russian Federation
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Review
For citations:
Mukhoedova T.V., Unarokov Z.M. EXPERIENCE OF SUSTAINED LOW EFFICIENCY DIALYSIS (SLED) - METHODS RENAL REPLACEMENT THERAPY IN TREATMENT CARDIORENAL SYNDROME WITH DIURETIC-REFRACTORY EDEMAS. Nephrology (Saint-Petersburg). 2010;14(1):63-67. (In Russ.) https://doi.org/10.24884/1561-6274-2010-14-1-63-67
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