Continuous renal replacement therapy after cardiac surgery in patients with acute renal failure
Göster/ Aç
Erişim
info:eu-repo/semantics/closedAccessTarih
2013Yazar
Güçlü, OrkutYavuz, C.
Gürkan, Selami
Yüksel, V.
Demirtaş, S.
Çalışkan, Ahmet
Canbaz, Suat
Gür, Özcan
Üst veri
Tüm öğe kaydını gösterÖzet
Aim Acute renal failure is an important adverse effect of cardiopulmonary bypass that can result in high mortality or morbidity rates. It can be treated with continuous renal replacement therapy after cardiac surgery. The purpose of this study was to determine the factors associated with the mortality and incidence of acute renal failure in patients of post cardiac surgery. Methods Patients (1564) who underwent cardiac surgery between January 2007 and January 2012 and treated with continuous renal replacement therapy were included (N=40). Patients with previous renal disorders were excluded. A retrospective analysis was carried out. Results Overall, continuous renal replacement therapy was used in 40 (2.6%) patients. The mean age was 62.7±11 years. Mean duration of cardiopulmonary bypass was 166±80 min, and aorta cross-clamping time was 97±35 min. The patients' mean pretherapy creatinine level and mean creatinine level before hospital discharge were 3.3±1.1 mg/dL and 1.1±0.4 mg/dl, respectively. Thirty-day mortality was 35%. Only 6 patients required long-term renal replacement therapy. Conclusion Acute renal failure requiring hemodialysis after cardiac surgery is associated with higher mortality and morbidity and prolonged hospital stay. Early renal recovery with continuous renal replacement therapy seems to offer an evident survival benefit. Continuous renal replacement therapy may represent an important therapy and reduce mortality rates. We believe that these rates might decrease even more with detailed preoperative evaluation and meticulous postoperative care with collaborative management.
Cilt
10Sayı
2Koleksiyonlar
İlgili Öğeler
Başlık, yazar, küratör ve konuya göre gösterilen ilgili öğeler.
-
Impact of ligating gonadal or adrenal collateral veins with the left renal vein on renal function and histology in right-nephrectomized rats
Yücel, Tayfun; Ekiz, Feza; Gürdal Özkan, Sibel; Yavuz, Hasan; Gönüllü, Doğan; Köksoy, Ferda Nihat; Şahan, Elife (Elsevier Science Bv, 2009)Background: In cases of trauma to the left renal vein (LRV), its ligation near the inferior vena cava (IVC) is considered, but the consequences are not always good. We investigated the role of collateral venous drainage ... -
Mitral kapak cerrahisi uygulanan hastalarda kardiyopulmoner bypass süresinin post-operatif renal fonksiyonlar üzerine etkilerinin araştırılması
Yıldırım, Ümmügülsüm (Tekirdağ Namık Kemal Üniversitesi, 2020)Amaç: Kardiyak cerrahi sonrası gelişen akut böbrek hasarı mortalite ve morbidite oranları ile sonuçlanmaktadır. Çalışmanın amacı kardiyopulmoner bypass süresinin böbrek fonksiyonları üzerine etkisinin araştırılmasıdır. ... -
Süperior Mezenterik Arter Kaynaklı Sağ Hepatik Arter ve Aksesuar Sol Renal Arter Olgusu
Turamanlar, Ozan; Gönül, Yücel; Kaçar, Emre; Çelik, Alaettin; Bal, Ahmet (Namık Kemal Üniversitesi, Tıp Fakültesi, 2014)Normalde truncus coeliacus’un üç dalından biri olan arteria hepatica communis, duedonum’un birinci kısmının üst yüzünde arteria hepatica propria ve arteria gastroduedonalis dallarını verir. Arteria renalis ise arteria ...