treatment of pulmonary edema in dialysis patients pamelor

METHODS admission. Existing series of CD patients in ICU have generally focused on causes of hospitalizations and outcomes [ Treatment and prognosis of pulmonary oedema depend on its cause. Published by Oxford University Press on behalf of ERA-EDTA.

Data were analysed with the use of SPSS® version 9.0.0 for Windows. Larger studies are needed to better identify the predictors of the outcome in this specific population and to better tailor their management.Oxford University Press is a department of the University of Oxford. National Kidney Foundation Task Force on cardiovascular diseaseLeft ventricular function in patients with acute myocardial infarction, acute pulmonary edema, and mechanical ventilation: relationship to prognosisReappraisal of continuous positive airway pressure therapy in acute cardiogenic pulmonary edema.
Hemodial Int.

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Search for other works by this author on: Clipboard, Search History, and several other advanced features are temporarily unavailable. We found out main etiology of Acute pulmonary edema in chronic dialysis patients were excessive interdialytic weight gain, APACHE II score as outcome predictors.
Pulmonary oedema can develop due to many causes ().In the patient with renal failure, pulmonary oedema typically occurs in the setting of raised pulmonary arterial pressure due to extracellular fluid expansion, due to a combination of excessive inter-dialytic weight gain and failure to achieve ‘dry’ or ‘post-dialysis target’ weight, often associated with cardiac … Fifty-nine per cent of them came from home, while 41% had been transferred from other hospital units where onsite facilities for dialysis were not available. Those affected are characterized by a rich past medical history, dominated by hypertension, past episodes of pulmonary oedema and ischaemic heart disease. Data were collected on patient characteristics at baseline, including demographics, day of admission and reasons for admission, primary cause of ESRD and duration of dialysis dependence as well as prior dialysis schedule (Monday, Wednesday and Friday versus Tuesday, Thursday and Saturday), compliance with dialysis and chronic treatment, causes of pulmonary oedema, biological, radiologic and echocardiographic parameters, treatment and outcome.Routine outpatient dialysis discontinuation was used to characterize patients who had missed at least the last scheduled dialysis session in their usual care centre prior to the admission in our ICU. Therefore, a total of 102 patients were included in the final analysis.

Cumulatively, however, the ultimate cause of pulmonary oedema was of cardiac origin in 41% of the patients ( Characteristics for those who survived and those who died during hospitalizationCharacteristics for those who survived and those who died during hospitalizationOur study highlights the importance of pulmonary oedema as a cause of intensive care admissions in CD patients, with as much as 10% mortality. The median number of past medical events per patient was 3 (ranging from 0 to 8); the most frequent being hypertension (74%) and pulmonary oedema (36%), see Distribution of past medical events and risk factors.Distribution of past medical events and risk factors.APACHE II, Acute Physiology and Chronic Health Evaluation II; IQR, inter quartile range; SOFA, Sequential Failure Assessment score.APACHE II, Acute Physiology and Chronic Health Evaluation II; IQR, inter quartile range; SOFA, Sequential Failure Assessment score. Of those 51 patients, 40 were on continuous ambulatory PD, and 11 were on automated PD. Ten were excluded because of missing data. In 23 patients, 1 daily bag contained an icodextrin solution (7.5 g/dL).

A mean 500 admissions are recorded per year. The mean age was 59 years (range 20–88 years). It furthers the University's objective of excellence in research, scholarship, and education by publishing worldwideFor full access to this pdf, sign in to an existing account, or purchase an annual subscription.

2007 Jan-Feb;34(1):15-26, 37; quiz 27-8. Lower respiratory chest infection was based on (i) fever, biological inflammatory syndrome, asymmetrical basal lung opacities on chest X-ray, together with typical radiological signs of pulmonary oedema before dialysis and (ii) resolution of the radiological signs of pulmonary oedema following dialysis and of the basal asymmetrical opacities only after treatment with antibiotics.

The duration of hospitalization was <4 days in 60% of participants.

Thank you for submitting a comment on this article. In Europe, for instance, available data indicate an increase in both the incidence and the prevalence of chronic dialysis (CD) patients at the average annual pace of 4% [ 2 ]. Short-term results and long-term follow-up© The Author 2011.

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