Application and nursing progress of sustained low-efficiency dialysis_West China Medical Journal

Authors：

YOU Shan ¹ , CHEN Yi ² , CHEN Chongcheng ² ,  CHEN Lin ¹

1. Hemodialysis Center of Nephrology Department, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. CKD Management Center of Nephrology Department, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

CHEN Lin, Email: hxxuetou@163.com

Keywords：

Sustained low-efficiency dialysis; Continuous renal replacement therapy; Nursing

DOI：

10.7507/1002-0179.201906007

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

With chronic kidney disease becoming a public health problem in the world, dialysis treatment model has also become the focus of attention from all walks of life. Sustained low-efficiency dialysis, which adopts the mode of low blood flow and low dialysis volume, is a kind of hybrid renal replacement therapy combining continuous renal replacement therapy and intermittent hemodialysis. It has unique advantages in the treatment of patients with acute and severe renal injury, as well as the dialysis duration, patient activity range and cost. It is the most widely used hybrid renal replacement therapy too. This review summarizes the clinical application and nursing points of sustained low-efficiency dialysis to provide guidance for clinical practice.

Citation： YOU Shan, CHEN Yi, CHEN Chongcheng, CHEN Lin. Application and nursing progress of sustained low-efficiency dialysis. West China Medical Journal, 2019, 34(7): 823-826. doi: 10.7507/1002-0179.201906007 Copy

1.	Marshall MR, Golper TA, Shaver MJ, et al. Sustained low-efficiency dialysis for critically ill patients requiring renal replacement therapy. Kidney Int, 2001, 60(2): 777-785.
2.	Tolwani AJ, Wheeler TS, Wille KM. Sustained low-efficiency dialysis. Contrib Nephrol, 2007, 156: 320-324.
3.	張紅霞, 余毅. 緩慢低效血液透析的應用進展. 世界臨床藥物, 2014, 35(2): 84-87.
4.	Kielstein JT, Kretschmer U, Ernst T, et al. Efficacy and cardiovascular tolerability of extended dialysis in critically ill patients: a randomized controlled study. Am J Kidney Dis, 2004, 43(2): 342-349.
5.	李洪, 曾麗花, 盧飛杏, 等. 持續緩慢低效血液透析和連續靜脈靜脈血液濾過的對照研究. 中華腎臟病雜志, 2005, 21(6): 364-366.
6.	Schwenger V, Weigand MA, Hoffmann O, et al. Sustained low efficiency dialysis using a single-pass batch system in acute kidney injury - a randomized interventional trial: the REnal replacement therapy study in intensive care unit patients. Crit Care, 2012, 16(4): R140.
7.	Marshall MR, Ma TM, Galler D, et al. Sustained low-efficiency daily diafiltration (SLEDD-f) for critically ill patients requiring renal replacement therapy: towards an adequate therapy. Nephrol Dial Transplant, 2004, 19(4): 877-884.
8.	Salahudeen AK, Kumar V, Madan N, et al. Sustained low efficiency dialysis in the continuous mode (C-SLED): dialysis efficacy, clinical outcomes, and survival predictors in critically ill cancer patients. Clin J Am Soc Nephrol, 2009, 4(8): 1338-1346.
9.	Berbece AN, Richardson RM. Sustained low-efficiency dialysis in the ICU: cost, anticoagulation, and solute removal. Kidney Int, 2006, 70(5): 963-968.
10.	Fiaccadori E, Maggiore U, Parenti E, et al. Sustained low-efficiency dialysis (SLED) with prostacyclin in critically ill patients with acute renal failure. Nephrol Dial Transplant, 2007, 22(2): 529-537.
11.	Holt BG, White JJ, Kuthiala A, et al. Sustained low-efficiency daily dialysis with hemofiltration for acute kidney injury in the presence of sepsis. Clin Nephrol, 2008, 69(1): 40-46.
12.	Lee CY, Yeh HC, Lin CY. Treatment of critically ill children with kidney injury by sustained low-efficiency daily diafiltration. Pediatr Nephrol, 2012, 27(12): 2301-2309.
13.	Wu VC, Wang CH, Wang WJ, et al. Sustained low-efficiency dialysis versus continuous veno-venous hemofiltration for postsurgical acute renal failure. Am J Surg, 2010, 199(4): 466-476.
14.	李銳釗, 梁馨苓, 陳源漢, 等. 持續低效緩慢血液透析與普通血液透析在終末期糖尿病腎病患者中的對照研究. 實用醫學雜志, 2011, 27(22): 4005-4007.
15.	王婷立, 劉芳, 張凌, 等. 持續緩慢低效血液透析治療在糖尿病腎臟疾病合并多器官功能衰竭患者中的應用. 四川大學學報(醫學版), 2012, 43(3): 447-450.
16.	樓鍵建, 潘華良. 不同封管液對血透臨時導管封管效果的影響. 世界最新醫學信息文摘, 2019, 19(25): 80-81.
17.	王饒萍, 謝丹妮, 陳桂芳, 等. 糖尿病腎病患者血液透析過程中血壓變化特點及護理. 護士進修雜志, 2002, 17(12): 921-922.
18.	盧飛杏, 李洪, 陳業珍. 持續緩慢低效血液透析的護理體會. 護士進修雜志, 2008, 23(6): 544-545.
19.	孟建中, 劉文淵, 王素霞, 等. 持續緩慢低效血液透析對透析中頑固性低血壓患者血液動力學的影響. 實用醫藥雜志, 2011, 28(6): 481-484.
20.	代明金, 周丹, 張雪梅, 等. i-STAT便攜式血氣分析儀在連續性腎臟替代治療中的應用. 華西醫學, 2013, 28(2): 263-264.
21.	陳志文, 王星, 代明金, 等. 持續緩慢低效血液透析患者應用枸櫞酸抗凝的護理. 中華護理雜志, 2013, 48(11): 978-980.
22.	陳香美. 血液凈化標準操作規程. 北京: 人民軍醫出版社, 2010.
23.	張凌, 李佩蕓, 魏甜甜, 等. 簡化枸櫞酸抗凝技術在持續緩慢低效血液透析中的臨床應用. 華西醫學, 2018, 33(7): 838-842.
24.	周薇, 周利民, 魏紅, 等. 持續緩慢低效透析在搶救重危老年腎衰患者中的應用與護理. 實用臨床醫藥雜志, 2011, 15(16): 25-26.
25.	冉玉力, 葉敏, 譚華. 不同封管方法在血液透析留置導管并高危出血患者中的應用. 實用中西醫結合臨床, 2012, 12(3): 53-54.
26.	王質剛. 雜合腎臟替代概念及發展前景. 中國血液凈化, 2009, 8(12): 639-643.
27.	付平, 張凌. 雜合腎臟替代治療的臨床應用. 中國血液凈化, 2011, 10(1): 7-9.

1. Marshall MR, Golper TA, Shaver MJ, et al. Sustained low-efficiency dialysis for critically ill patients requiring renal replacement therapy. Kidney Int, 2001, 60(2): 777-785.
2. Tolwani AJ, Wheeler TS, Wille KM. Sustained low-efficiency dialysis. Contrib Nephrol, 2007, 156: 320-324.
3. 張紅霞, 余毅. 緩慢低效血液透析的應用進展. 世界臨床藥物, 2014, 35(2): 84-87.
4. Kielstein JT, Kretschmer U, Ernst T, et al. Efficacy and cardiovascular tolerability of extended dialysis in critically ill patients: a randomized controlled study. Am J Kidney Dis, 2004, 43(2): 342-349.
5. 李洪, 曾麗花, 盧飛杏, 等. 持續緩慢低效血液透析和連續靜脈靜脈血液濾過的對照研究. 中華腎臟病雜志, 2005, 21(6): 364-366.
6. Schwenger V, Weigand MA, Hoffmann O, et al. Sustained low efficiency dialysis using a single-pass batch system in acute kidney injury - a randomized interventional trial: the REnal replacement therapy study in intensive care unit patients. Crit Care, 2012, 16(4): R140.
7. Marshall MR, Ma TM, Galler D, et al. Sustained low-efficiency daily diafiltration (SLEDD-f) for critically ill patients requiring renal replacement therapy: towards an adequate therapy. Nephrol Dial Transplant, 2004, 19(4): 877-884.
8. Salahudeen AK, Kumar V, Madan N, et al. Sustained low efficiency dialysis in the continuous mode (C-SLED): dialysis efficacy, clinical outcomes, and survival predictors in critically ill cancer patients. Clin J Am Soc Nephrol, 2009, 4(8): 1338-1346.
9. Berbece AN, Richardson RM. Sustained low-efficiency dialysis in the ICU: cost, anticoagulation, and solute removal. Kidney Int, 2006, 70(5): 963-968.
10. Fiaccadori E, Maggiore U, Parenti E, et al. Sustained low-efficiency dialysis (SLED) with prostacyclin in critically ill patients with acute renal failure. Nephrol Dial Transplant, 2007, 22(2): 529-537.
11. Holt BG, White JJ, Kuthiala A, et al. Sustained low-efficiency daily dialysis with hemofiltration for acute kidney injury in the presence of sepsis. Clin Nephrol, 2008, 69(1): 40-46.
12. Lee CY, Yeh HC, Lin CY. Treatment of critically ill children with kidney injury by sustained low-efficiency daily diafiltration. Pediatr Nephrol, 2012, 27(12): 2301-2309.
13. Wu VC, Wang CH, Wang WJ, et al. Sustained low-efficiency dialysis versus continuous veno-venous hemofiltration for postsurgical acute renal failure. Am J Surg, 2010, 199(4): 466-476.
14. 李銳釗, 梁馨苓, 陳源漢, 等. 持續低效緩慢血液透析與普通血液透析在終末期糖尿病腎病患者中的對照研究. 實用醫學雜志, 2011, 27(22): 4005-4007.
15. 王婷立, 劉芳, 張凌, 等. 持續緩慢低效血液透析治療在糖尿病腎臟疾病合并多器官功能衰竭患者中的應用. 四川大學學報(醫學版), 2012, 43(3): 447-450.
16. 樓鍵建, 潘華良. 不同封管液對血透臨時導管封管效果的影響. 世界最新醫學信息文摘, 2019, 19(25): 80-81.
17. 王饒萍, 謝丹妮, 陳桂芳, 等. 糖尿病腎病患者血液透析過程中血壓變化特點及護理. 護士進修雜志, 2002, 17(12): 921-922.
18. 盧飛杏, 李洪, 陳業珍. 持續緩慢低效血液透析的護理體會. 護士進修雜志, 2008, 23(6): 544-545.
19. 孟建中, 劉文淵, 王素霞, 等. 持續緩慢低效血液透析對透析中頑固性低血壓患者血液動力學的影響. 實用醫藥雜志, 2011, 28(6): 481-484.
20. 代明金, 周丹, 張雪梅, 等. i-STAT便攜式血氣分析儀在連續性腎臟替代治療中的應用. 華西醫學, 2013, 28(2): 263-264.
21. 陳志文, 王星, 代明金, 等. 持續緩慢低效血液透析患者應用枸櫞酸抗凝的護理. 中華護理雜志, 2013, 48(11): 978-980.
22. 陳香美. 血液凈化標準操作規程. 北京: 人民軍醫出版社, 2010.
23. 張凌, 李佩蕓, 魏甜甜, 等. 簡化枸櫞酸抗凝技術在持續緩慢低效血液透析中的臨床應用. 華西醫學, 2018, 33(7): 838-842.
24. 周薇, 周利民, 魏紅, 等. 持續緩慢低效透析在搶救重危老年腎衰患者中的應用與護理. 實用臨床醫藥雜志, 2011, 15(16): 25-26.
25. 冉玉力, 葉敏, 譚華. 不同封管方法在血液透析留置導管并高危出血患者中的應用. 實用中西醫結合臨床, 2012, 12(3): 53-54.
26. 王質剛. 雜合腎臟替代概念及發展前景. 中國血液凈化, 2009, 8(12): 639-643.
27. 付平, 張凌. 雜合腎臟替代治療的臨床應用. 中國血液凈化, 2011, 10(1): 7-9.

Previous Article
Progress in diagnosis and treatment of diabetic kidney disease
Next Article
Internet of things technology in the management of chronic kidney disease

West China Medical Journal

Application and nursing progress of sustained low-efficiency dialysis

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content