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10.1177/0896860820983670

http://scihub22266oqcxt.onion/10.1177/0896860820983670
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33410384!ä!33410384

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suck abstract from ncbi


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pmid33410384      Perit+Dial+Int 2021 ; 41 (3): 328-332
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  • Case series of acute peritoneal dialysis in the prone position for acute kidney injury during the Covid-19 pandemic: Prone to complications? #MMPMID33410384
  • Soomro QH; Mukherjee V; Amerling R; Caplin N
  • Perit Dial Int 2021[May]; 41 (3): 328-332 PMID33410384show ga
  • Patients with kidney failure and acute respiratory distress syndrome (ARDS) requiring prone position have not been candidates for peritoneal dialysis (PD) due to concern with increased intra-abdominal pressure, reduction in respiratory system compliance and risks of peritoneal fluid leaks. We describe our experience in delivering acute PD during the surge in Covid-19 acute kidney injury (AKI) in the subset of patients requiring prone positioning. All seven patients included in this report were admitted to the intensive care unit with SARS-CoV-2 infection leading to ARDS, AKI and multisystem organ failure. All required renal replacement therapy, and prone positioning to improve ventilation/perfusion mismatch. All seven were able to continue PD despite prone positioning without any detrimental effects on respiratory mechanics or the need to switch to a different modality. Fluid leakage was noted in 71% of patients, but mild and readily resolved. We were able to successfully implement acute PD in ventilator-dependent prone patients suffering from Covid-19-related AKI. This required a team effort and some modifications in the conventional PD prescription and delivery.
  • |*Patient Positioning/adverse effects[MESH]
  • |*Prone Position[MESH]
  • |Acute Kidney Injury/*etiology/*therapy[MESH]
  • |Adult[MESH]
  • |COVID-19/*complications[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Intensive Care Units[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Peritoneal Dialysis/*methods[MESH]


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