40 years of continuous renal replacement therapy [electronic resource]
- 40 years of continuous renal replacement therapy[electronic resource] / editors: R. Bellomo, J.A. Kellum, G. La Manna, C. Ronco.
- Basel : Karger, 2018.
- 1 online resource.
- Contributions to nephrology ; v. 194
- Evolution of Technology for Continuous Renal Replacement Therapy: Forty Years of Improvement; Abstract; Introduction; The Era of Continuous Arteriovenous Hemofiltration; The Addition of Diffusion and the Birth of Hemodiafiltration; Ultrafiltration and Fluid Balance Control; Introduction of Venovenous Pumped Techniques; From Adoptive Technology to Dedicated Equipment; Technological Response to New Demands; Evolution of CRRT Techniques; From Renal Replacement to Multiple Organ Support Therapy; Latest Generation of CRRT Machines Innovation and Consensus on CRRT Technology RequirementsCRRT Connectivity; Specific Technology for Small Infants and Pediatric Applications; Conclusions; References; Evolution of Vascular Access andAnticoagulation; Abstract; Vascular Access; Anticoagulation; Conclusions; References; Indications and Timing of Continuous Renal Replacement Therapy Application; Abstract; Introduction; How Is "Timing" Relative to Starting CRRT Defined?; Why Start CRRT?; Why Not Start CRRT?; Current Recommendations from Clinical Practice Guidelines; Can CRRT Improve Outcome? Recent Trials Examining RRT Initiation Strategies in AKIConclusions; Acknowledgments; Disclosure Statement; References; Prescription and Delivery of the Right Continuous Renal ReplacementTherapies Dose; Abstract; Introduction; Conceptual Definitions of Dose; Practical Definitions of Dose: How to Prescribe and Measure the CRRTDose; The Effects of Delivered Dose on Solute Control; Main Factors Affecting Dose Delivery in CRRT; Quality Indicators for Dose Monitoring; References; Techniques and Modalities of Continuous Renal Replacement Therapy; Abstract; Introduction; Physiologic Principles Clinical PracticeIntegration of CRRT into Multi-Organ Support Systems; Future Developments; Conclusions; References; Fluid Management on Continuous Renal Replacement Therapy; Abstract; Fluid Homeostasis and the Critically Ill; Fluid Management on CRRT; FB as Target for Patient Care; Principles of Fluid Management Using CRRT; Physiological Targets and Goals for Fluid Management; Rate of Fluid Removal; Monitoring during Fluid Removal; Orders and Charting; Conclusions; References; Membranes and Sorbents; Abstract; Introduction; CRRT Membranes; Sorbents; Conclusion; References Advances in Machine TechnologyAbstract; Introduction; Historical Evolution of CRRT Machines; State-of-the-Art CRRT Hardware; Conclusion; References; Extra-Renal Indications for ContinuousRenal Replacement Therapy; Abstract; Introduction; Incidence of Extra-Renal Indications; Fluid Removal; Removal of Endogenous and Exogenous Substances; Removal of Cytokines; Summary; References; Technical Complications of ContinuousRenal Replacement Therapy; Abstract; Introduction; Vascular Access; Filter Clotting and Reduced Filter Life and Efficiency; Hypothermia; Air Embolism; Fluid Balance; Others
- 9783318063066, 9783318063073
Continuous renal replacement therapies (CRRT) started off as an alternative to hemo- or peritoneal dialysis. Today's machines and techniques are the result of 4 decades of developments, studies, and practices which can be divided into 4 distinct stages: exploration and development; birth of a new specialty called critical care nephrology; design of specific new devices and machines; and interaction among various specialists to adapt extracorporeal therapies for multiple organ support and sepsis.
This book features contributions from prominent CRRT experts from around the world. It is an important tool for educating a new generation of nephrologists and intensivists. At the same time, it provides the most advanced CRRT users with the latest technological information, the most updated clinical evidence, and the personal opinion of key leaders who contributed to the last 40 years of history in the field.
Evolution of Technology for Continuous Renal Replacement Therapy: Forty Years of Improvement
Evolution of Vascular Access and Anticoagulation
Indications and Timing of Continuous Renal Replacement Therapy Application
Prescription and Delivery of the Right Continuous Renal Replacement Therapies Dose
Techniques and Modalities of Continuous Renal Replacement Therapy
Fluid Management on Continuous Renal Replacement Therapy
Membranes and Sorbents
Advances in Machine Technology
Extra-Renal Indications for Continuous Renal Replacement Therapy
Technical Complications of Continuous Renal Replacement Therapy
Clinical Complications of Continuous Renal Replacement Therapy
Discontinuation of Continuous Renal Replacement Therapy and Dialysis Dependence
Ensuring Quality of Care through Monitoring of Continuous Renal Replacement Therapies
Continuous Renal Replacement Therapy Quality Control and Performance Measures
Pediatric Continuous Renal Replacement Therapy for “40 Years of Continuous Renal Replacement Therapy”
From Continuous Renal Replacement Therapies to Multiple Organ Support Therapy