Subject(s)
Hypothermia/therapy , Resuscitation/methods , Animals , Blood , Body Temperature , Body Temperature Regulation , Dogs , Female , Humans , Middle Aged , Rectum , Resuscitation/instrumentation , Skin TemperatureABSTRACT
A 10-year retrospective analysis has been carried out of 114 patients dialysed for acute renal failure. Fifty-eight patients, predominantly suffering from multiple organ failure, required treatment in an Intensive Therapy Unit (ITU); 56 less severely ill patients were treated in a Renal Unit. Overall survival in the former group was 36% and in the latter group 63%. In the first 5 years of the study, survival in the ITU patients was 31% and in the second 5 years, was 38% in spite of a trend towards increased severity of illness. These results challenge the view that haemodialysis is rarely worth-while in patients with multiple organ failure, and suggest that current management techniques have improved prognosis. The most important adverse factors continue to be old age, sepsis and gastrointestinal disease.
Subject(s)
Acute Kidney Injury/mortality , Acute Kidney Injury/complications , Acute Kidney Injury/therapy , Female , Humans , Intensive Care Units , Male , Middle Aged , Renal Dialysis , Retrospective StudiesSubject(s)
Shock/physiopathology , Angiotensin II/metabolism , Blood Circulation , Blood Viscosity , Body Fluids/metabolism , Catecholamines/metabolism , Heart/physiopathology , Hematocrit , Histamine/metabolism , Humans , Hydrogen-Ion Concentration , Kidney/physiopathology , Kinins/metabolism , Liver/physiopathology , Lung/physiopathology , Oxygen Consumption , Oxyhemoglobins/metabolism , Prostaglandins/metabolism , Respiration , Shock, Cardiogenic/physiopathology , Vasoconstriction , VasodilationABSTRACT
A survey of 200 patients undergoing surgery under general anaesthesia in a purpose-built day case unit is described. The response rate was 80%. The results demonstrate a high incidence of minor post-operative morbidity, but, despite this, there was a very high degree of patient satisfaction with the service provided in the unit. Suggestions are made with regard to day care surgery under general anaesthesia.
