Blood Purification in Intensive Care: Proceedings of the Second International Course on Critical Care Nephrology, Vicenza, May 22-25, 2001
Claudio Ronco, Rinaldo Bellomo, G. La Greca
Karger, Jan 1, 2001 - Medical - 433 pages
In the last twenty years, critical care medicine has been established as a specialty with its own therapies and procedures, with significant implications for clinical nephrology regarding severe acute renal failure. This typically multi-factorial condition is today predominantly seen in intensive care units. The complex knowledge and skills necessary to handle it have resulted in a field called Critical Care Nephrology, where nephrologist and intensivist either work side by side or have formally acquired expertise and training in both specialties. Extracorporeal renal replacement therapies, although originally used to treat end-stage renal disease patients, rapidly gained importance for acute patients. This has had far-reaching implications for the initiation and possible role of blood purification in the management of critically ill patients, widening the scope of interaction between the nephrologist and the intensivist. Experts in the field have contributed to the present book, providing a comprehensive review of the different blood purification techniques relevant in the intensive care unit in the case of multiple organ failure. The resulting mix of established knowledge and recent results from both clinical trials and basic research constitutes a valuable tool for all professionals involved in the care of the critically ill patient.
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activation acute renal failure anticoagulation ARF patients arterial pressure arteriovenous Bellomo Blood Purification cardiac output catheter cells citrate clearance Clin clinical continuous renal replacement continuous venovenous Contrib Nephrol creatinine Crit critically ill patients CRRT CVVH cytokines decrease dialysis disease diuretics dopamine Doppler dose drug dysfunction effects endotoxin extracorporeal factors filter filtration fluid balance hemodiafiltration hemodialysis hemodynamic hemofiltration heparin HVHF hypotension increased induced infection inflammatory infusion injury intensive care unit intermittent ischemia ischemic JAm Soc Nephrol Kidney Kidney Int left ventricular levels lung mechanism mediators membrane metabolic ml/min molecules monitoring mortality necrosis Nephrol Dial Transplant Nephrology neutrophils NF-kB normal outcome oxide oxygen patients with ARF peritoneal Physiol plasma platelet Ppao protein pump receptor removal renal function renal replacement therapy response risk Ronco sepsis septic shock serum solute studies syndrome systolic techniques tion treatment trial tubular tubule ultrafiltration ultrafiltration rate urea vascular venous volume