【持续性肾脏替代治疗crrt英文精品课件】acute peritoneal dialysis (pd) in the picu

《【持续性肾脏替代治疗crrt英文精品课件】acute peritoneal dialysis (pd) in the picu》由会员上传分享，免费在线阅读，更多相关内容在教育资源-天天文库。

1、Acuteperitonealdialysis(PD)inthePICUConstantinosJ.Stefanidis“P.&A.Kyriakou”Children'sHospital,Athens,GreeceHDPDLatereferrallife-threateninghyperkalemiaorseverevolumeoverloadARFEarlyreferralChoiceofdialysisinARFCRRTorNeonatesandinfantsCJStefanidis2002HDPDChoiceofdialysisinARFCRRTWereusedast

2、heprimarymeansofacuterenalreplacementtherapyinanearlyequalpercentageofcentersWaradyBA,BunchmanT.Dialysistherapyforchildrenwithacuterenalfailure:surveyresults.PediatrNephrol2000;15(1-2):11-3CJStefanidis2002PreferentialuseofPDandCRRTWaradyBA,BunchmanT.Dialysistherapyforchildrenwithacuterenal

3、failure:surveyresults.PediatrNephrol2000;15(1-2):11-3PDCRRTCJStefanidis2002WhentostartPDinARF?SymptomaticuraemiaHyperkalaemiaVolumeoverloadSeveremetabolicacidosis(refractorytomedicaltreatment)CongerJ.Dialysisandrelatedtherapies.SeminNephrol1998;54:1817-1831CJStefanidis2002WhentostartPDinAR

4、F?S.creatinineandbloodureaarenotprimaryindicationsfordialysisunlesstheyrelatetomentalstatuschangesCongerJ.Dialysisandrelatedtherapies.SeminNephrol1998;54:1817-1831CJStefanidis2002WhentostartPDinARF?IntheabsenceofdataitisadvisabletostartdialysisattheearliestsignthatitmaybeneededThereareesse

5、ntiallynodataFlynnJT.PediatrNephrol2002;17(1):61-9CJStefanidis2002BenefitsofPDPDstillremainsthemodalityofrenalreplacementtherapyofchoiceinmanypediatricnephrologycenters,because:1.itrequiresminimalequipmentandinfrastructureFlynnJT.Choiceofdialysismodalityformanagementofpediatricacuterenalfa

6、ilure.PediatrNephrol2002;17(1):61-92.itisfairlyinexpensivecomparedwithothermodalities3.itisrelativelyeasytoperformanddoesnotrequireadditionalnursingpersonnel.CJStefanidis2002BenefitsofPD1.LesshaemodynamicinstabilityFlynnJT.Choiceofdialysismodalityformanagementofpediatricacuterenalfailure.P

7、ediatrNephrol2002;17(1):61-93.Avoidanceofangioaccess2.AvoidanceofsystemicanticoagulationChildrenwithARFwhoarehypotensive,requiringvasopressorsupportandchildrenwithmultipleorganfailurearesuccessfullymanagedwithPDCJStefanidis2002DisadvantagesofPD1.Slowercorrecti