Outcome and complications of intraoperative hemodialysis during cardiopulmonary bypass with potassium-rich cardioplegia

Khoo, Michelle S.C.; Braden, Gregory; Deaton, David W.; Owen, S.Holgate; Germain, Michael J.; O'Shea, Michael; Mulhern, Jeffrey G.; Rousou, John A.; Flack, Joseph E.; Engleman, Richard M.

doi:10.1016/s0272-6386(03)00369-x

Cited by 19 publications

(10 citation statements)

References 31 publications

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“…Several reports have described various strategies, including intraoperative UF and hemodialysis, for perioperative management. [8,9] However, there are only a few studies that have documented the effects of routine intraoperative UF in conjunction with pre-and postoperative hemodialysis in dialysis-dependent patients who underwent open heart surgery. [10,11] The amount of alteration that occurs in the serum electrolytes with hemofiltration depends on the volume of the ultrafiltrate and the composition and amount of fluid replacement.…”

Section: Resultsmentioning

confidence: 99%

The effects of perioperative ultrafiltration on postoperative outcomes in dialysis-dependent patients undergoing open heart surgery

Çoşkun¹

2013

Turk Gogus Kalp Dama

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Amaç: Bu çalışmada açık kalp cerrahisi yapılan hemodiyalize bağımlı hastalarda perioperatif ultrafiltrasyonun (UF) ameliyat sonrası sonuçları üzerine etkileri araştırıldı. Ça lış mapla nı:Mart 2000 -Mayıs 2008 tarihleri arasında açık kalp ameliyatı yapılan hemodiyalize bağımlı 46 hasta çalışmaya dahil edildi. Hastalar ultrafiltrasyon (UF) kullanımına göre iki gruba ayrıldı: UF (+) ve UF (-) grubu. Tüm hastalar ameliyattan bir gün önce ve ameliyattan iki gün sonra hemodiyalize alındı. Kırk altı hastanın 26'sına ameliyat sırasında UF yapıldı (UF (+) grubu). Her iki grubun yoğun bakımda kalış süresi dahil olmak üzere, hastanede kalış süreleri ve morbidite ve mortalite oranları karşılaştı-rıldı. Ameliyat öncesi ve sonrası santral venöz basınçları, kan üre nitrojen (BUN), kreatinin, serum potasyum ve hemoglobin (Hgb) konsantrasyonları incelendi. Bul gu lar: Yoğun bakımda kalış süresi (sırasıyla 56±28 saat ve 95±93 saat; p= 0.04) ve hastanede kalış süresi (sırasıyla 5.5±1.4 gün ve 8.1±3.4 gün; p= 0.002) gruplar arasında anlamlı olarak farklı idi. Gruplar arasında ameliyat sonrası ortalama BUN (sırasıyla 50.6±13.5 mg/dl ve 59.8±13.7 mg/dl; p= 0.02) ve hemoglobin düzeylerinde (sırasıyla 9.9±1.0 g/dl ve 8.8±0.9 g/dl; p= 0.001) anlamlı farklılıklar vardı. So nuç:Diyalize bağımlı hastalarda açık kalp perioperatif UF uygulaması, hastanede kalış süresini kısaltabilir ve biyokimyasal ve hemodinamik parametrelerde iyileşme sağlayabilir.Anah tar söz cük ler: Diyalize bağımlı hasta; açık kalp cerrahisi; ultrafiltrasyon.

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Section: Resultsmentioning

confidence: 99%

The effects of perioperative ultrafiltration on postoperative outcomes in dialysis-dependent patients undergoing open heart surgery

Çoşkun¹

2013

Turk Gogus Kalp Dama

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“…Several reports have described strategies for perioperative management that include intraoperative ultrafi ltration, IHD, and postoperative hemodialysis. 2,[5][6][7][8][9] However, there are few reports that report the effects of the routine use of IHD and postoperative CHDF in dialysis-dependent patients undergoing open-heart surgery.…”

Section: Discussionmentioning

confidence: 99%

“…Several studies have demonstrated various strategies, which include the use of intraoperative hemodialysis (IHD) and intraoperative hemofi ltration, producing favorable surgical outcomes. [1][2][3][4][5][6] However, there are few reports that evaluate the effects of the routine use of postoperative continuous hemodialysis (CHDF) combined with IHD on fl uid and electrolyte managements, morbidity, and mortality.…”

Section: Introductionmentioning

confidence: 99%

Safety of perioperative hemodialysis and continuous hemodiafiltration for dialysis patients with cardiac surgery

Kamohara

Yoshikai

Yunoki

et al. 2007

Gen Thorac Cardiovasc Surg

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“…Patients undergoing open heart surgery are exposed to cardioplegic solutions containing KCl typically at about 16 mmol/L, 64 which may lead to clinically signifi cant hyperkalemia in the postoperative period, especially in patients with diabetes mellitus with or without renal failure. 65…”

Section: Excessive Potassium Intakementioning

confidence: 99%

Acid-Base, Electrolyte, and Metabolic Abnormalities

Faridi¹,

Weisberg²

2008

Critical Care Medicine

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Outcome and complications of intraoperative hemodialysis during cardiopulmonary bypass with potassium-rich cardioplegia

Cited by 19 publications

References 31 publications

The effects of perioperative ultrafiltration on postoperative outcomes in dialysis-dependent patients undergoing open heart surgery

The effects of perioperative ultrafiltration on postoperative outcomes in dialysis-dependent patients undergoing open heart surgery

Safety of perioperative hemodialysis and continuous hemodiafiltration for dialysis patients with cardiac surgery

Acid-Base, Electrolyte, and Metabolic Abnormalities

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