Giraldo SJM

Language: Spanish
References: 25
Page: 363-368
PDF size: 231.08 Kb.

ABSTRACT

Acute renal failure within the intensive care unit is a very frequent clinical condition. Is the consequence of the multiple settings presented during the stay that can goes from the different types of shock, through poisonings and infections to the polymedication of our patients. Its manifestation depends on the genetic predisposition, the type of injury, the degree of response of the host and its relationship in the timeline in terms of multiple organ dysfunction, which makes its establishment unpredictable. The use of the peritoneal membrane inside the intensive care unit as the first line of intervention to perform dialysis of solutes and solvents in critically ill adult patients is not usual, however the peritoneal dialysis has shown excellent results in time of stay, mortality, infections acquired inside the unit and recovery of residual renal function consistent with medical literature. We present the clinical case of a woman in the sixth decade of life who developed acute renal failure from the risk of renal injury quickly moving to renal injury and failure requiring peritoneal dialysis, adding to an important clinical casuistry generated in the last five years within our organization.

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