【持续性肾脏替代治疗CRRT英文精品课件】Continuous renal replacement therapy in cardiac surgery.pptVIP

Continuous renal replacement therapy in cardiac surgery Presenter: Ri 謝佳憲 Content Base-line and intra-operative variables Long-term and short term outcomes Timing of CRRT Background ARF necessitating the use of CRRT is a rare but a devastating complication of cardiac surgery Incidence: 2-15% Mortality: 40-80% Etiology Poorly understood Hypo-perfusion of the renal medulla seems to be the most likely mechanism. Nephrotoxic agents, ex. AG, vancomycin Tissue oedema, microembolization.. Base-line and intra-operative variables Baseline variables Definition: serum Cr1 mg/dl above baseline. Assoc