RESUMO
A 33-year-old male with acute pancreatitis induced by hypertriglyceridemia had problems during treatment with plasma exchange. The hypercoagulable state was prevented by introducing innovative methods for cleaning and warming of the circuit and dialyzer. This enabled successful therapy, and the patient fully recovered from life-threatening acute pancreatitis.
RESUMO
Acute kidney injury (AKI) requiring dialysis occurs frequently, and its pathogenesis involves multiple pathways within which hemodynamic, inflammatory and nephrotoxic factors overlap. Several studies have tried to assess the risk factors leading to AKI, and found, among other factors, that preoperative renal dysfunction is important. Currently, it is uncertain when dialysis therapy should start. However, AKI after cardiac surgery should be treated early by continuous hemodialysis.
Assuntos
Injúria Renal Aguda/etiologia , Diálise Renal , Injúria Renal Aguda/terapia , Procedimentos Cirúrgicos Cardíacos/efeitos adversos , Humanos , Complicações Pós-Operatórias/terapiaRESUMO
Continuous renal replacement therapy is expected to improve unfavorable status in critical care. As precise volume control is most important to maintain the damaged circulation system, blood and solution control should be carried out precisely. Recently, further technical development was achieved in this area, and quality of these products--including disposable kits--has been improved. Nevertheless, incidental and accidental errors in human and equipment are sometimes happen. In order to decrease it, the staff understands the system of treatment and is familiar to the routine check point.
