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首页> 外文期刊>Revista de la Sociedad Espanola de Enfermeria Nefrologica >The experience of sledd in patients in intensive care.
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The experience of sledd in patients in intensive care.

机译：重症监护病房中雪橇的经验。

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SANTOS CARAMELO, Nuno Jo?o dos and DOMINGUEZ FERNANDEZ, Jesus. The experience of sledd in patients in intensive care. Rev Soc Esp Enferm Nefrol [online]. 2005, vol.8, n.2, pp.103-107. ISSN 1139-1375.The use of mixed dialytic techniques such as SLEDD (Slow low efficient daily dialysis) offers multiple benefits that may be very useful in intensive care units, as they combine the advantages of conventional haemodialysis (intermittent) and continuous dialytic techniques. In the SLEDD technique, we will submit a patient to a "haemodialysis" where certain characteristics are altered, such as the duration of the procedure, the flow of the dialisant and the blood pumping speed. All of this is done to adapt the technique to the delicate haemodynamic situation of the patients and in order to achieve at shorter times than with continuous techniques, the same or greater purification of urea and creatinine and a larger volume of ultrafiltered liquid. This work describes an experimental implementation of SLEDD, comparing it with a continuous technique in an intensive care unit. It was shown that it gives benefits for the patient in physiological terms, advantages for nursing personnel and also economic advantages. The mean urea and creatinine clarification rates of SLEDD are better than those of continuous techniques, and the consequences of this mixed technique in haemodynamic terms for patients are similar and sometimes less decompensating than the continuous techniques, even in situations where there is amine support.
机译：Santos CARAMELO，Nuno Jo？o dos和DOMINGUEZ FERNANDEZ，耶稣。重症监护病房中雪橇的经验。 Rev Soc Esp Enferm Nefrol [在线]。 2005年，第8卷，第2期，第103-107页。 ISSN 1139-1375：使用混合透析技术（如SLEDD（慢速低效率日常透析））可提供多种好处，在重症监护病房中可能非常有用，因为它们结合了常规血液透析（间歇性）和连续透析技术的优势。在SLEDD技术中，我们将使患者接受“血液透析”，其中某些特征会发生变化，例如过程的持续时间，透析液的流量和抽血速度。所有这些都是为了使该技术适应患者的微弱的血液动力学状况，并且为了在比连续技术更短的时间内实现相同或更高纯度的尿素和肌酐的净化以及更大体积的超滤液体的实现。这项工作描述了SLEDD的实验性实施方案，并将其与重症监护室中的连续技术进行了比较。结果表明，它在生理上给患者带来好处，对护理人员也有好处，同时也带来经济上的好处。 SLEDD的平均尿素和肌酐澄清率优于连续技术，即使在有胺支持的情况下，这种混合技术在血液动力学方面给患者带来的后果与连续技术相似，有时甚至补偿不足。

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