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KMID : 0352120170320010043
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Journal of Kyung Hee University
2017 Volume.32 No. 1 p.43 ~ p.47
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Continuous Renal Replacement Therapy during Anesthesia in Critically Ill Patient
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Lee Jae-Woo
Kang Hyo-Seok
Lee Yong-Soo
Shin So-Jin
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Abstract
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A 48 yrs old woman with high fever, untreated diabetes and liver cirrhosis underwent emergency nephrectomy following rapid deterioration of hemodynamic state due to acute emphysematous pyelonephritis with abscess in right kidney, complicated with septic shock. To correct metabolic acidosis and electrolyte imbalance, to prevent renal failure, and to remove of toxic material from blood, CRRT (continuous renal replacement therapy) was applied during surgery and continued in intensive care unit after surgery. CRRT usually have been used in the intensive care unit for treatment of postoperative acute renal failure in the anesthesia. Other uses of CRRT include correcting metabolic acidosis and electrolyte imbalance and removing toxins in sepsis.
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KEYWORD
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Pyelonephritis, Renal replacement therapy, Sepsis
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