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03 Perioperative Renal Failure In Cardiac Surgery

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SICU Case Discussion— Perioperative Renal Failure in Cardiac Surgery Intern 許惠晴 Resident 李惠琴 醫師 V.S. 張家昇 主任
[object Object],[object Object],[object Object],[object Object],[object Object],Basic Data
Present Illness ,[object Object],[object Object],[object Object]
Present Illness ,[object Object],[object Object]
Past History ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Lab data on 2008/03/04 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
Perioperative Renal Failure in Cardiac Surgery
Incidence of Peri-operative ARF ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object]
 
 
General Measures to Prevent ARF ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pharmacologic Intervention to Prevent ARF after Cardiac Surgery ,[object Object],[object Object],[object Object],[object Object]
[object Object]
Fenoldopam mesylate ,[object Object],[object Object]
Atrial natriuretic peptide ,[object Object],[object Object],[object Object]
Mannitol ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
N-acetylcysteine (N-AC) ,[object Object],[object Object],[object Object]
Prophylactic hemodialysis ,[object Object],[object Object],[object Object],[object Object],[object Object]
Inh. Sym. tone Inh. Inflamm Prevent vasospasm
Continuous Renal Replacement Therapy ,[object Object],[object Object],[object Object]
Continuous renal replacement therapy(CRRT) Yes RF/D Yes Continuous venovenous hemodiafiltration(CVVHDF) Yes D Yes Continuous venovenous hemodialysis(CVVHD) Yes RF Yes Continuous venovenous hemofiltration(CVVH) No RF/D No Continuous arterio venous hemodiafiltration(CAVHDF) No D No Continuous arterio venous hemodialysis(CAVHD) Yes None Yes/no Slow continuous ultrafiltration (SCUF) Intraoperative Use Replacement Fluid (RF)/Dialysate (D) Blood Pump Renal Replacement Therapy
Thanks for your attention!!
Reference ,[object Object],[object Object],[object Object]

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03 Perioperative Renal Failure In Cardiac Surgery

  • 1. SICU Case Discussion— Perioperative Renal Failure in Cardiac Surgery Intern 許惠晴 Resident 李惠琴 醫師 V.S. 張家昇 主任
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  • 9. Perioperative Renal Failure in Cardiac Surgery
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  • 22. Inh. Sym. tone Inh. Inflamm Prevent vasospasm
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  • 24. Continuous renal replacement therapy(CRRT) Yes RF/D Yes Continuous venovenous hemodiafiltration(CVVHDF) Yes D Yes Continuous venovenous hemodialysis(CVVHD) Yes RF Yes Continuous venovenous hemofiltration(CVVH) No RF/D No Continuous arterio venous hemodiafiltration(CAVHDF) No D No Continuous arterio venous hemodialysis(CAVHD) Yes None Yes/no Slow continuous ultrafiltration (SCUF) Intraoperative Use Replacement Fluid (RF)/Dialysate (D) Blood Pump Renal Replacement Therapy
  • 25. Thanks for your attention!!
  • 26.

Editor's Notes

  1. 3/6 sudden onset of VT was noted. CPCR was done. Asystole was noted. Then AAD.