医学
肾脏替代疗法
重症监护医学
体外膜肺氧合
体外
急性呼吸窘迫
急性肾损伤
败血症
血液滤过
急症护理
肺
医疗保健
外科
内科学
血液透析
经济
经济增长
作者
S. Lane,Elizabeth Harvey-Jones,O. C. Ward,R. G. Davies
出处
期刊:Acute medicine
日期:2023-07-01
卷期号:22 (3): 154-162
摘要
There are a wide number of indications for extracorporeal therapies in the critical care environment. A common indication seen by the acute physician is continuous renal replacement therapy (CRRT) in a proportion of patients with acute kidney injury. It is therefore important that acute physicians have a sound understanding of the principles of CRRT in the acutely unwell patient. This review will outline the indications for its use, commonly used methods and anticoagulation considerations. It will discuss when to start and stop CRRT as well as describing potential treatment complications. This review will also discuss the role of therapeutic plasma exchange in critical care and novel extracorporeal therapies including blood purification in sepsis and carbon dioxide removal in acute respiratory distress syndrome and acute exacerbations of obstructive lung disease. Extracorporeal membrane oxygenation is outside of the scope of this article.
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