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Continuous Renal replacement therapies in sepsis: where is the evidence?

BERLOT, GIORGIO
•
Marco Piva
•
LUCANGELO, UMBERTO
altro
Gabriele Sganga
2006
  • journal article

Periodico
CURRENT ANAESTHESIA AND CRITICAL CARE
Abstract
Sepsis-related acute renal failure (ARF) is a common occurrence and is associated with a high mortality rate, especially when it complicates an already existing clinical picture of multiple organ dysfunctions. As the same pathophysiologic mechanisms working in the systemic circulation act in the renal microvascular network and are triggered by a host of mediators released by the patient’s immunitary cells, it has been hypothesized that continuous renal replacement treatments (CRRT) could be used to treat the ARF and to remove the septic mediators at the same time. Indeed, many even if not all experimental and clinical studies demonstrated the both goals are achievable, even if the net effect on the survival is not clear. Several factors including the selection of patients, their different clinical course (early vs. advanced stage of sepsis), the technique used (haemofiltration vs. hemodiafiltration; low vs. high volumes) and endpoints (survival vs. control of uremia) of the studies acc
DOI
10.1016/j.cacc.2006.12004
Archivio
http://hdl.handle.net/11368/2497744
info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-34247100174
Diritti
metadata only access
Soggetti
  • acute renal failure

  • renal replacement the...

  • sepsis

Scopus© citazioni
2
Data di acquisizione
Jun 7, 2022
Vedi dettagli
google-scholar
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