Continuous Renal Replacement Therapy Specialized Teams: A Challenge to Improve Quality Performance

J. Echeverri, C. Larrarte, M. Huérfano
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Abstract

Acute kidney injury is a common condition in critical care, and continuous extracorporeal therapies have become part of the requirement for multiorgan support in critically ill patients. Availability of continuous renal replacement therapy (CRRT) in a healthcare center can influence the therapy performance and patient ’ s results, and it is challenging to attain high-quality standards in centers without previous experience in CRRTand with new therapy users. This chapter describes the experience of a highly specialized acute renal care service model with emphasis on timely interventions by an exclusive CRRT team, and protocol performance and its impact on optimal clinical and pharmacoeconomic
持续肾替代治疗专业团队:提高质量表现的挑战
急性肾损伤是危重症患者的常见病,持续体外治疗已成为危重症患者多器官支持需求的一部分。医疗保健中心持续肾替代治疗(CRRT)的可用性会影响治疗效果和患者的结果,并且在没有CRRT经验的中心和新治疗用户中达到高质量标准是具有挑战性的。本章描述了一个高度专业化的急性肾脏护理服务模式的经验,重点是由一个独家的CRRT团队及时干预,以及方案的性能及其对最佳临床和药物经济学的影响
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