Yoğun Bakımdaki Kritik Hastalarda Akut Böbrek Hasarında Renal Replasman Tedavisi Kararı ve Zamanlaması

Year 2019, Volume: 29 Issue: 1, 37 - 47, 01.01.2019

Iskender Kara Fatma Yıldırım Melda Türkoğlu Gülbin Aygencel

Abstract

Yoğun bakım ünitelerinde YBÜ takip edilen kritik hastalarda gelişen akut böbrek hasarı ABH önemli bir morbidite ve mortalite nedenidir. Bu hastalarda yapılan renal replasman tedavilerinin RRT başlatılmasında hangi kriterlerin kullanılacağı ve tedavinin ne zaman başlatılacağı soruları net olarak cevaplanmış değildir. Bu derlemede YBÜ’de RRT başlangıcını belirleyen faktörler incelendi. Ayrıca hastaların üre-kreatinin seviyeleri, idrar çıkışı-sıvı yükü, YBÜ yatışı ile RRT başlangıcı arasında geçen süre, prognostik faktörler ve bazı belirteçlere göre başlatılan erken ve geç RRT çalışmaları incelendi. Sonuçta YBÜ’de kritik hastalarda RRT başlangıcını belirleyen kriterler ve bu kriterlerin eşik değerlerinin kişiselleştirilmesi gerektiği düşünüldü

Keywords

Renal replasman tedavileri, zamanlama, yoğun bakım ünitesi, akut böbrek yetmezliği

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