Impact of Using Blood Warmer During Continuous Kidney Replacement Therapy in Patients With Acute Kidney Injury.
J Intensive Care Med
; 39(4): 387-394, 2024 Apr.
Article
en En
| MEDLINE
| ID: mdl-37885206
ABSTRACT
PURPOSE:
We investigated the impact of blood warmer use on hypotensive episodes in patients with acute kidney injury (AKI) receiving continuous kidney replacement therapy (CKRT). MATERIALS ANDMETHODS:
We included patients with AKI undergoing CKRT between January 1, 2012, and January 1, 2021, at a tertiary academic hospital. Hypotensive episodes were defined as mean arterial pressure (MAP) <60â mm Hg or a decrease in MAP by ≥10 mm Hg, systolic blood pressure (SBP) < 90â mm Hg or a decrease in SBP by ≥20 mm Hg, or increased vasopressor requirement. These were analyzed by Poisson regression with repeated-measures analysis of variance using generalized estimation equation.RESULTS:
There were 669 patients with AKI that required CKRT. Use of blood warmer on first day of CKRT was in 324 (48%) patients. Incidence rate ratio of hypotensive episodes during the first 24-h of CKRT in patients where a blood warmer was used was 1.06 (95% confidence interval [CI] 0.98-1.13) compared to those where blood warmer was not used. This did not change in adjusted model. Overall, the within-subject effect of temperature on hypotensive episodes showed that higher temperature was associated with fewer episodes (0.94, 95% CI 0.9-0.99 per 10 degrees increase, P = .007).CONCLUSION:
Blood rewarming was not associated with hypotensive episodes during CKRT.Palabras clave
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Lesión Renal Aguda
/
Terapia de Reemplazo Renal Continuo
/
Hipotensión
Límite:
Humans
Idioma:
En
Revista:
J Intensive Care Med
Asunto de la revista:
TERAPIA INTENSIVA
Año:
2024
Tipo del documento:
Article
País de afiliación:
Estados Unidos