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Báo cáo y học: "Continuous vs. intermittent hemodialysis: With which spin will my patient win"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Continuous vs. intermittent hemodialysis: With which spin will my patient win? | Available online at http ccforum.eom content 11 5 313 University of Pittsburgh Department of Critical Care Medicine Evidence-Based Medicine Journal Club EBM Journal Club Section Editor Eric B. Milbrandt MD MPH Journal club critique Continuous vs. intermittent hemodialysis With which spin will my patient win Kamal Chater1 and John A. Kellum2 1 Clinical Fellow Department of Critical Care Medicine University of Pittsburgh School of Medicine Pittsburgh Pennsylvania USA 2 Professor Department of Critical Care Medicine University of Pittsburgh School of Medicine Pittsburgh Pennsylvania USA Published online 27th September 2007 This article is online at http ccforum.com content 11 5 313 2007 BioMed Central Ltd Critical Care 2007 11 313 DOI 10.1186 cc Expanded Abstract Citation Vinsonneau C Camus C Combes A et al. Continuous venovenous haemodiafiltration versus intermittent haemodialysis for acute renal failure in patients with multiple-organ dysfunction syndrome a multicentre randomised trial. Lancet 2006 368 9533 379-85 1 . Background Whether continuous renal replacement therapy is better than intermittent haemodialysis for the treatment of acute renal failure in critically ill patients is controversial. Methods Objective To compare the effect of intermittent haemodialysis and continuous venovenous haemodiafiltration on survival rates in critically ill patients with acute renal failure as part of multiple-organ dysfunction syndrome. Design Prospective randomized controlled trial Setting 21 medical or multidisciplinary intensive-care units from university or community hospitals in France between Oct 1 1999 and March 3 2003. Subjects 360 critically ill patients with acute renal failure as part of multiple-organ dysfunction syndrome. Intervention Patients were randomized to intermittent haemodialysis n 184 or continuous venovenous haemodiafiltration n 175 . Guidelines were provided to achieve optimum haemodynamic tolerance and effectiveness of solute removal in both groups.