Prismaflex in the ICU for Biomedical Engineers PDF download

Prismaflex Dave Holtsbaum Clinical Sales Consultant Renal Intensive Care NSW

Dialysis in the ICU

Other modes HD, PD

Why CRRT ?

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Why Continuous Therapies? Continuous therapies closely mimic the native kidney in treating Acute Renal Failure and fluid overload • Slow and gentle • Remove large amounts of fluid and waste products over time • Tolerated well by the hemodynamically unstable patient

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Kidney Esophagus (cut) Hepatic veins (cut) Inferior vena cava Adrenal gland Renal artery Renal hilum Renal vein Aorta Kidney Ureter Iliac crest Rectum (cut) Uterus (part of female reproductive system) Urinary bladder Urethra

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Location

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Structure Renal column

Papilla of pyramid Cortex

Cortical radiate vein Cortical radiate artery Arcuate vein Arcuate artery Interlobar vein Interlobar artery Segmental arteries

Minor calyx

Renal artery Renal vein Renal pelvis

Renal pyramid of medulla

Major calyx Ureter

Fibrous capsule

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Acute Renal Failure (ARF)

“A sudden, rapid deterioration in renal function”

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Causes ARF • Decreased blood flow to kidneys

• Injury to renal tissue associated with ischemia, toxins or both

• Interference to urine flow from kidneys to exterior of body

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ARF in the ICU

• ARF 1% - 25% critically ill patients • Mortality 28% - 90% of these patients

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Intensive Care Unit (ICU) What happens? Body maintained by artificial means to maintain a level of stability to allow for the healing process to overcome insult.

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Dialysate Flow = Diffusion

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direct into

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How is clotting reduced in the filter (mechanical)?

Increase BFR

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Deaeration Chamber

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How is clotting reduced in the filter (chemical)? -

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GAMBRO

Prisma Range

Prismaflex in the ICU for Biomedical Engineers