Fluid balance management during continuous renal replacement therapy.
Journal
Seminars in dialysis
ISSN: 1525-139X
Titre abrégé: Semin Dial
Pays: United States
ID NLM: 8911629
Informations de publication
Date de publication:
11 2021
11 2021
Historique:
revised:
16
02
2021
received:
10
02
2021
accepted:
16
02
2021
pubmed:
24
3
2021
medline:
15
3
2022
entrez:
23
3
2021
Statut:
ppublish
Résumé
In critically ill patients, particularly in the setting of shock and sepsis volume management frequently results in a fluid overloaded state, requiring diuresis or intervention with renal replacement therapy. Achieving appropriate volume management requires knowledge of the underlying cardiovascular pathophysiology and careful evaluation of intravascular and extravascular volume status. In the presence of a failing kidney, fluid removal is often a challenge. Continuous renal replacement therapy (CRRT) techniques offer a significant advantage over intermittent dialysis for fluid control, however, any form of RRT in the critically ill patient requires careful attention to prescription and monitoring to avoid complications. In order to utilize these therapies for their maximum potential it is necessary to understand which factors influence fluid balance and have an understanding of the principles and kinetics of fluid removal with extra-corporeal techniques.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
440-448Informations de copyright
© 2021 Wiley Periodicals LLC.
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