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Topic: Renal replacement therapy

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Referral Guidelines Absolute and potentially life-threatening indications for renal replacement therapy include: Medical management should be directed at fluid, electrolyte, drugs, nutrition and renal replacement therapy (i.e., dialysis). Transfer of primary care to the nephrologist should take place prior to the need for renal replacement therapy (i.e. www.wramc.amedd.army.mil /departments/medicine/Nephrology/tools/refguide.htm

CIN'2003. Balasubramaniam. Neonatal Renal Failure All modalities of renal replacement therapy, pose practical difficulties, when undertaken for these unfortunate neonates. Peritoneal dialysis is the more practical mode of renal replacement therapy in neonates. Peritoneal dialysis was the chosen mode of renal replacement therapy. www.uninet.edu /cin2003/conf/balas/balas.html

Dialysis Solutions Incorporated Dialysis Solutions Inc. is pleased to announce that it’s bicarbonate based Normocarb™ CRRT solution will be exclusively distributed in the United States by the Renal Therapies Division of B. Braun Medical Inc. Normocarb™ compliments the full line of products currently offered by B. Braun for Continuous Renal Replacement Therapy... The Second International Pediatric Continuous Renal Replacement Therapy meeting was held in Orlando Florida June 20-22, 2002. Until now, producing a Continuous Renal Replacement Therapy (CRRT) solution has been very time consuming for hospital pharmacies. www.dialysissolutions.com

ABC of intensive care: Renal support -- Short and Cumming 319 (7201): 41 -- BMJ Renal replacement therapy should be started and tailored according to the degree of biochemical derangement and the patient's underlying condition require renal replacement therapy until the urea concentration physiological oliguria of renal hypoperfusion from acute renal bmj.bmjjournals.com /cgi/content/full/319/7201/41   (1567 words)

NephroWorld is the most visited virtual Community and Marketplace for Professionals Patients, Organizations and Companies related to Nephrology. Renal replacement therapy has also evolved a great deal over the last 20 years with the development and increasing application of continuous renal replacement therapy (CRRT). Carcinoma of the renal pelvis or ureter The presence of cancerous cells in the lining (mucosa) of the part of the kidney (the pelvis and its subdivisions or calyces) that empties urine into the tube (ureter) that connects to the bladder, or in the ureter mucosa. MR-Guided PTA in Experimental Bilateral Rabbit Renal Artery Stenosis and MR Angiography Follow-Up Versus Histomorphometry To assess in vivo 1) MR-guided percutaneous transluminal renal angioplasty (PTRA) in experimental bilateral rabbit renal artery stenosis (RAS); 2) postprocedural follow-up by gadolinium-enhanced MR angiography versus histomorphometry. www.nephroworld.com /search_1.htm   (15188 words)

Acute Renal Failure (ARF) - nephrologychannel Before the development of renal replacement therapy (RRT), many people with ARF died from severe electrolyte imbalance (hyperkalemia, acidosis) or from the uremic toxins themselves. There are several modalities of renal replacement therapy (RRT) for patients with acute renal failure: Acute renal failure (ARF) is the rapid breakdown of renal (kidney) function that occurs when high levels of uremic toxins (waste products of the body’s metabolism) accumulate in the blood. nephrologychannel.com /arf   (406 words)

Chronic renal failure - Wikipedia, the free encyclopedia After ESRD occurs, renal replacement therapy is required, in the form of either dialysis or a transplant. CRF that leads to severe illness and requires some form of renal replacement therapy (such as dialysis) is called end-stage renal disease (ESRD). Chronic renal failure (CRF) is a slowly progressive loss of renal function over a period of months or years and defined as an abnormally low glomerular filtration rate, which is usually determined indirectly by the creatinine level in blood serum. en.wikipedia.org /wiki/Chronic_renal_failure   (406 words)

Pregnancy does not adversely affect renal transplant function -- Crowe et al. 92 (11): 631 -- QJM renal replacement therapy within 2 years of delivery. renal impairment, and all required renal replacement therapy The renal function of one patient deteriorated prior to labour. qjmed.oxfordjournals.org /cgi/content/full/92/11/631   (1536 words)

The Cardiac Society of Australia and New Zealand - 47th ASM Abstracts Results: Seven patients developed acute renal failure, requiring temporary renal replacement therapy at the time of Tx in the setting of multi-organ failure. Transient peri-operative renal impairment not requiring renal replacement therapy occurred in 26% of patients. The relationship between renal impairment and cyclosporin levels was not possible to interpret due to alterations in dose in response to rises in serum creatinine. www.csanz.edu.au /abstracts/47abstracts/260.htm   (1536 words)

Acute Renal Failure (ARF) - nephrologychannel Before the development of renal replacement therapy (RRT), many people with ARF died from severe electrolyte imbalance (hyperkalemia, acidosis) or from the uremic toxins themselves. There are several modalities of renal replacement therapy (RRT) for patients with acute renal failure: Acute renal failure (ARF) is the rapid breakdown of renal (kidney) function that occurs when high levels of uremic toxins (waste products of the body’s metabolism) accumulate in the blood. nephrologychannel.com /arf   (1536 words)

Acute renal failure - Encyclopedia.WorldSearch Continuous Renal Replacement Therapy: Dialytic Therapy for Acute Renal Failure in Intensive Care. Acute Renal Failure in the Intensive Therapy Unit (Current Concepts in Critical Care) Acute renal failure due to acute tubular necrosis (ATN) was recognised in the 1940s in the United Kingdom, where crush victims during the Battle of Britain developed patchy necrosis of renal tubules, leading to a sudden decrease in renal function (Bywaters EG, Beall D. Crush injuries with impairment of renal function. encyclopedia.worldsearch.com /acute_renal_failure.htm   (1536 words)

MRB: Replacement of Renal Function by Dialysis failure is severe, and about 90% of renal function is lost, a patient requires a form of renal replacement therapy to survive: a renal transplant or dialysis. Continuous Renal Replacement Therapy (CRRT) is the replacement of normal kidney function on a continuous basis... UpToDate Patient information: Overview of renal replacement therapy -... www.medical-research-books.com /mrb-books-reviewed/1402000839.html   (605 words)

Renal Dialysis Peritoneal dialysis (PD) is an effective renal replacement therapy; however, its penetration rate in China is rather low. [Advances in therapy of renal anemia: darbepoetin alfa] Preservation of renal function with surgical revascularization in patients with atherosclerotic renovascular disease. www.find-health-articles.com /Cate-Renal-Dialysis.htm   (605 words)

eMedicine - Renal Failure, Acute : Article by Richard Sinert, DO The principal methods of renal replacement therapy (RRT) are intermittent hemodialysis (IHD), continuous venovenous hemofiltration (CVVH), and peritoneal dialysis (PD). With intrinsic renal failure, removal of tubular toxins and initiation of therapy for glomerular diseases decreases renal afferent vasoconstriction. Intrinsic renal failure includes diseases of the glomerulus or tubule, which are associated with release of renal afferent vasoconstrictors. www.emedicine.com /emerg/topic500.htm   (605 words)

ENEPH.com - The Official Site of the Journal Dialysis and Transplantation Critically Ill Patients Receiving Continuous Renal Replacement Therapy: Patient Survival, Renal Function Recovery, and Complications of Therapy. Renal Risks of an Emerging "Epidemic" of Obesity: The Role of Adipocyte-Derived Factors. Serum Soluble Interleukin-2 Receptor in Patients with End-Stage Renal Disease on Hemodialysis. www.eneph.com /articleindex.asp   (605 words)

Renal Disease Renal replacement therapy in the elderly: Medical, ethical, and psychosocial considerations. Estimation of glomerular filtration rate in older patients with chronic renal insufficiency: is the modification of diet in renal disease formula an improvement? Loos C, Briançon S, Frimat L, Hanesse B, Kessler M. Effect of end-stage renal disease on the quality of life of older patients. www.fiu.edu /~nutreldr/SubjectList/R/Renal_Disease.htm   (942 words)

Chronic renal failure - Wikipedia, the free encyclopedia CRF that leads to severe illness and requires some form of renal replacement therapy (such as dialysis) is called end-stage renal disease (ESRD). Chronic renal failure (CRF, or "chronic kidney failure", CKF) is a slowly progressive loss of renal function over a period of months or years and defined as an abnormally low glomerular filtration rate, which is usually determined indirectly by the creatinine level in blood serum. The goal of therapy is to slow down or halt the otherwise relentless progression of CRF to ESRD. en.wikipedia.org /wiki/Chronic_renal_failure   (793 words)

eMedicine - Renal Failure, Acute : Article by Richard Sinert, DO The principal methods of renal replacement therapy (RRT) are intermittent hemodialysis (IHD), continuous venovenous hemofiltration (CVVH), and peritoneal dialysis (PD). Mortality rates from ARF remain 50%, despite the institution of effective renal replacement therapies. Acute glomerulonephritis is rare and most commonly the result of maternal-fetal transfer of antibodies against the neonate's glomeruli or transfer of chronic infections (syphilis, cytomegalovirus) associated with acute glomerulonephritis. www.emedicine.com /emerg/topic500.htm   (5858 words)

Renal Advances in renal replacement therapy: a journal of the National Kidney Foundation (tables of contents and abstracts). Renal Biopsy Case Reviews sponsored by the Nephropathology Laboratory, University of North Carolina at Chapel Hill. British journal of renal medicine (tables of contents and abstracts). www.medther.gla.ac.uk /sites/renal.html   (127 words)

RENAL FUNCTION ACROSS THE LIFESPAN More than 200,000 pts received renal replacement therapy in 1991. Dilation of the renal pelvis and calyces with urine Renal function is normal or near normal when the kidney can both concentrate and dilute urine, control serum electrolytes, and excrete nitrogenous wastes. www.tc.cc.tx.us /~sdroske/renal.htm   (7677 words)

News - Peritoneal Dialysis May Be More Likely To Achieve Renal Function Recovery In Atheroembolic Renal Failure Patients in the study underwent intermittent haemodialysis, continuous renal replacement therapy or peritoneal dialysis. The study found recovery of renal function, to the extent that dialysis was no longer necessary, was an important predictor of survival. Of the 43 cases identified, 12 recovered renal function enough to continue dialysis (after a mean delay of 409 days) and 31 did not. www.docguide.com /news/content.nsf/news/8525697700573E1885256D4A007547B1   (597 words)

Renal impairment in elderly patients with hypertension and diabetes -- Ellis and Cairns 94 (5): 261 -- QJM Early deaths on renal replacement therapy: the need for early nephrological referral. Renal impairment in elderly patients with hypertension and diabetes -- Ellis and Cairns 94 (5): 261 -- QJM The prevalence of renal disease was estimated to qjmed.oxfordjournals.org /cgi/content/full/94/5/261   (597 words)

eMedicine - Chronic Renal Failure : Article by Mauro Verrelli, MD, FRCPC, FACP Patients with CRF should be referred to a nephrologist early in the course of their disease and have continued nephrologic follow-up until initiation of chronic renal replacement therapy. Webb JA: Ultrasonography in the diagnosis of renal obstruction. It is reliable in the diagnosis of renal vein thrombosis, as are CT scan and renal venography. www.emedicine.com /med/topic374.htm   (597 words)

eMedicine - Renal Cortical Necrosis : Article by Elif Erkan, MD Consult a pediatric nephrologist to manage acute renal failure and for ongoing chronic renal replacement therapy. Background: Renal cortical necrosis (RCN) is a rare cause of acute renal failure secondary to ischemic necrosis of the renal cortex. The lesions are usually caused by significantly diminished renal arterial perfusion secondary to vascular spasm, microvascular injury, or intravascular coagulation. www.emedicine.com /ped/topic1989.htm   (597 words)

MedlinePlus Medical Encyclopedia: Dialysis Artificial kidneys; Hemodialysis; Peritoneal dialysis; Renal replacement therapy; Dialysis is most frequently used for patients who have kidney failure, but may also be used to quickly remove drugs or poisons in acute situations. Dialysis is a method of removing toxic substances (impurities or wastes) from the blood when the kidneys are unable to do so. www.nlm.nih.gov /medlineplus/ency/article/003421.htm   (597 words)

Acute renal failure, VM 552 SAM Urogenital System Failure to induce urine production of at least 1/2 ml/lb/hour (1 ml/kg/hr) indicates either that fluid replacement is inadequate or the presence of intrinsic renal failure. ARF is contrasted with chronic renal failure (CRF) in which there is a gradual death of nephrons with the remaining nephrons functioning in a normal or supra normal capacity. Drugs which are renally excreted need to have the dose or dose interval altered to prevent accumulation of toxic levels of the drug in patients with renal disease. courses.vetmed.wsu.edu /vm552/urogenital/arf.htm   (597 words)

Postgraduate Medicine: Renal Problems Symposium: Renal disease in the elderly Options for renal replacement therapy (ie, hemodialysis, peritoneal dialysis, renal transplantation) are the same in the elderly as in younger patients (22), with hemodialysis being the most common choice. Among new enrollees in end-stage renal disease programs, 42% are aged 65 or older, and the most common causes of the renal failure are diabetes and hypertension. This natural involutionary process is represented histologically by a decrease in the renal vasculature (especially in the renal cortex), an increase in the number of obsolescent glomeruli, tubular atrophy and dilatation, and interstitial scarring. www.postgradmed.com /issues/1996/12_96/ali1.htm   (2699 words)

ASHP News: Enoxaparin Dosage Adjustment Needed in Renal Impairment Fondaparinux, another drug that interferes with the blood coagulation cascade, is unusable in patients with severe renal impairment and for prophylactic therapy in patients weighing less than 50 kg and undergoing hip-fracture or hip- or knee-replacement surgery. Low-weight men and women also were found to have a higher-than-normal exposure to the drug, but this was less than was found for the patients with severe renal impairment and no change in dosage was specifically recommended. According to the product's labeling, which now includes more information about the pharmacokinetics of enoxaparin, a regimen of once-daily 40-mg doses to patients with severe renal impairment resulted in a 65-percent higher exposure than occurred with a group of patients with better kidney function. www.ashp.org /news/ShowArticle.cfm?cfid=2246399&CFToken=86626033&id=7114   (2699 words)

Renal Replacement Therapy - Peritoneal Dialysis - nephrologychannel Renal Replacement Therapy - Peritoneal Dialysis - nephrologychannel Peritoneal dialysis must be performed everyday and fluid must be in the abdomen at all times to clean the blood adequately. About 2 weeks before dialysis begins, a Tenckhoff catheter is surgically inserted with one end in the peritoneal space, and the other extending a few inches away from the skin. www.nephrologychannel.com /rrt/peritoneal.shtml   (2699 words)

Renal Dialysis The mission of the Renal Dialysis Department at Mary Hitchcock Memorial Hospital is to provide comprehensive renal replacement therapy by a multidisciplinary patient care team. This team, consisting of Physicians, Registered Nurses, Patient Care Technicians/LNAs, Renal Social Workers and a Renal Dietitian, administers and/or coordinates a broad spectrum of services to the renal dialysis population. As an End Stage Renal Disease Program at DHMC, the treatment options offered include outpatient chronic renal dialysis management, in-center hemodialysis, "acute" hemodialysis treatments, home peritoneal dialysis and renal transplantation. www.dhmc.org /renal_dialysis.cfm   (2699 words)

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