Rationale for Early Renal Replacement Therapy for Multiple Organ Dysfunction

Objective: to determine the impact of early initiation of renal replacement therapy on the manifestations of a systemic inflammatory response (SIR) and on the prevention of progression of organ dysfunction (OD). Subjects and methods. A prospective study was conducted in the intensive care units of t...

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Main Authors: L. S. Barbarash, G. P. Plotnikov, D. L. Shukevich, B. L. Hayes, L. E. Shukevich, Yu. A. Churlyav, Ye. V. Grigoryev
Format: Article
Language:English
Published: Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia 2010-12-01
Series:Общая реаниматология
Online Access:https://www.reanimatology.com/rmt/article/view/362
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author L. S. Barbarash
G. P. Plotnikov
D. L. Shukevich
B. L. Hayes
L. E. Shukevich
Yu. A. Churlyav
Ye. V. Grigoryev
author_facet L. S. Barbarash
G. P. Plotnikov
D. L. Shukevich
B. L. Hayes
L. E. Shukevich
Yu. A. Churlyav
Ye. V. Grigoryev
author_sort L. S. Barbarash
collection DOAJ
description Objective: to determine the impact of early initiation of renal replacement therapy on the manifestations of a systemic inflammatory response (SIR) and on the prevention of progression of organ dysfunction (OD). Subjects and methods. A prospective study was conducted in the intensive care units of the Kemerovo Regional Clinical Hospital and the Research Institute for Integrated Problems of Cardiovascular Diseases, Siberian Branch of the Russian Academy of Medical Sciences, in the identical period (2003—2009). Three hundred and fifty-four patients underwent a set of invasive hemodynamic studies, biochemical tests, and transpulmonary thermodilution. Conclusion. Renal replacement therapy prevents the progression of OD in patients with SIR irrespective of the etiology of the latter (infectious versus noninfectious SIR); the earlier initiation of continuous renal replacement therapy (within 24 hours after the determination of indications for its session) is most effective. Key words: renal replacement therapy, organ dysfunction.
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spelling doaj.art-24c52adcfaaf418c92870caab9891ace2023-03-13T09:32:50ZengFederal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, RussiaОбщая реаниматология1813-97792411-71102010-12-016610.15360/1813-9779-2010-6-29362Rationale for Early Renal Replacement Therapy for Multiple Organ DysfunctionL. S. BarbarashG. P. PlotnikovD. L. ShukevichB. L. HayesL. E. ShukevichYu. A. ChurlyavYe. V. GrigoryevObjective: to determine the impact of early initiation of renal replacement therapy on the manifestations of a systemic inflammatory response (SIR) and on the prevention of progression of organ dysfunction (OD). Subjects and methods. A prospective study was conducted in the intensive care units of the Kemerovo Regional Clinical Hospital and the Research Institute for Integrated Problems of Cardiovascular Diseases, Siberian Branch of the Russian Academy of Medical Sciences, in the identical period (2003—2009). Three hundred and fifty-four patients underwent a set of invasive hemodynamic studies, biochemical tests, and transpulmonary thermodilution. Conclusion. Renal replacement therapy prevents the progression of OD in patients with SIR irrespective of the etiology of the latter (infectious versus noninfectious SIR); the earlier initiation of continuous renal replacement therapy (within 24 hours after the determination of indications for its session) is most effective. Key words: renal replacement therapy, organ dysfunction.https://www.reanimatology.com/rmt/article/view/362
spellingShingle L. S. Barbarash
G. P. Plotnikov
D. L. Shukevich
B. L. Hayes
L. E. Shukevich
Yu. A. Churlyav
Ye. V. Grigoryev
Rationale for Early Renal Replacement Therapy for Multiple Organ Dysfunction
Общая реаниматология
title Rationale for Early Renal Replacement Therapy for Multiple Organ Dysfunction
title_full Rationale for Early Renal Replacement Therapy for Multiple Organ Dysfunction
title_fullStr Rationale for Early Renal Replacement Therapy for Multiple Organ Dysfunction
title_full_unstemmed Rationale for Early Renal Replacement Therapy for Multiple Organ Dysfunction
title_short Rationale for Early Renal Replacement Therapy for Multiple Organ Dysfunction
title_sort rationale for early renal replacement therapy for multiple organ dysfunction
url https://www.reanimatology.com/rmt/article/view/362
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