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Yoğun Bakım Ünitesindeki Akut Böbrek Yetmezlikli Hastaların Renal Replasman Tedavisinde Yeni Bir Yaklaşım: Uzun Süreli Düşük Etkinlikli Diyaliz-Uzun Süreli Günlük Diyaliz

A New Approach to Renal Replacement for Acute Renal Failure in the Intensive Care Unit: Sustained Low Efficiency Dialysis-Extended Daily Dialysis

Journal Name:

  • Türk Nefroloji, Diyaliz ve Transplantasyon Dergisi

Publication Year:

  • 2005

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Continuous renal replacement therapies have advantages over intermittent hemodialysis in the treatment of critically ill patients with acute renal failure. Dialytic regimens which have therapeutic aims in common with other continuous renal replacement therapies have been developed; these include lower solute clearances that are maintained for longer periods of time. For reasons of cost, simplicity, and convenience, attempts have been made to adapt intermittent hemodialysis machinery for continuous renal replacement therapy. Sustained low efficiency dialysis using the Fresenius 2008H/4008K series or Genius machines is safe, convenient, and provides excellent control of electrolytes, with good tolerance to ultrafiltration. Hemodialyzer clotting is a common complication.
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Abstract (Original Language): 
Yavaş-sürekli diyaliz yöntemleri kritik durumdaki akut böbrek yetmezlikli hastaların tedavisinde aralıklı hemodiyalize göre daha avantajlıdır. Son yıllarda uzun sürede daha düşük sıvı çekim hızı ve solüt kli -rensi (yavaş-sürekli diyaliz yöntemlerinde olduğu gibi) tedavi amacı olan diyaliz rejimleri geliştirilmiştir. Modifiye hemodiyaliz makineleri ile uygulanan bu yöntemler düşük maliyet ve kolay uygulanma gibi avantajları nedeniyle yavaş-sürekli diyaliz yöntemleri yerine kullanılmaktadır. Uzun süreli düşük etkinlikli diyalizde Fresenius 2008H/4008K veya Genius hemodiyaliz makineleri kullanılır; ultrafiltrasyona daha iyi hemodinamik tolerans, emniyetli elektrolit kontrolü sağlanır. Diyalizer pıhtılaşması sık görülen komplikasyondur.
FULL TEXT (PDF): 
PDF icon pdf_tndt_541.pdf
  • 4
155-159
  • Turkish

REFERENCES

References: 

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