UTILITY OF INTERMITTENT HEMODIAFILTRATION IN HEMODYNAMICALLY UNSTABLE POST CARDIAC SURGERY PATIENTS

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E-Poster

https://storage.unitedwebnetwork.com/files/1099/75051c2d66bd5fa085cf48e9330862fc.pdf

Abstract Title

First Name *

Salvador

Last Name *

Lopez-Gil

Co-author 1

Erika Elizabet Jaime-Borja erikae.jabo@gmail.com Instituto Nacional de Cardiologia Ignacio Chávez Nephrology Department Mexico City

Co-author 2

Christian Dominguez-Flores chrisdoomflores10@gmail.com Instituto Nacional de Cardiologia Ignacio Chávez Nephrology Department Mexico City

Co-author 3

Rodrigo Gopar-Nieto rodrigogopar@gmail.com Instituto Nacional de Cardiologia Ignacio Chávez Coronary Care Unit Mexico City

Co-author 4

Daniel Manzur-Sandoval drdanielmanzur@gmail.com Instituto Nacional de Cardiologia Ignacio Chávez Cardiovascular Critical Care Unit Mexico City

Co-author 5

Co-author 6

Co-author 7

Co-author 8

Co-author 9

Co-author 10

Co-author 11

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Co-author 15

Introduction

In hemodynamically unstable patients, continuous renal replacement therapy is recommended as the method of choice. However, controversies have been described when compared with intermittent therapies. The aim of our study is to evaluate the usefulness of intermittent convective therapy (Hemodiafiltration) in critically ill post-cardiac surgery patients.

Methods

Descriptive observational study of 27 post cardiac surgery patients receiving intermittent hemodiafiltration (iHDF). We evaluated intrahospital (IH) mortality, length of stay (LOS) and dependence of renal replacement therapy (RRT) at discharge between patients who required vasopressors versus no vasopressors previous iHDF session.

Results

27 patients were evaluated, 17 were men (63%), median age was 55 years (IQR 31-60), median of LOS was 44 days (IQR 17-63), median of length iHDF was 179 min (IQR 126.75-180), median of ultrafiltration volume was 1950 ml (IQR 200-2700). Median of substitution volume was 23 L (IQR 18.9-40). There were no differences in IH mortality, LOS and dependence of RRT between groups (p = 0.12, p = 0.37, p = 0.12) respectively.

Conclusions

Intermittent convective therapy could be safe and feasible in the setting of post cardiac surgery patients who require vasopressors as RRT.

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