Venous-venous hemofiltration in critical patients
Abstract
The Acute renal failure in the critically ill patients usually attends in the context of multiorgan dysfunction. The continuous renal replacement therapies, such the veno-venous hemofiltration, is a clear option for patients with hemodynamic instability, because of they good tolerability.
We review the results of treatment with renal replacement therapy with continuous veno-venous hemofiltration during 24 months. Using a retrospective observational study, in order to know the percentage of patients that survive the episode. We analyze the admission causes and the APACHE II score to quantify the patient severity.
The results show a mortality about 69%. The patients with abdominal septic shock have a lower mortality compared with other causes and similar Apache II scores. Patients with cardiogenic shock, despite a lower APACHE II score have an increased mortality.