Abstract

SANTOS CARAMELO, Nuno João dos  and  DOMINGUEZ FERNANDEZ, Jesus. The experience of sledd in patients in intensive care. Rev Soc Esp Enferm Nefrol [online]. 2005, vol.8, n.2, pp.103-107. ISSN 1139-1375.

The use of mixed dialytic techniques such as SLEDD (Slow low efficient daily dialysis) offers multiple benefits that may be very useful in intensive care units, as they combine the advantages of conventional haemodialysis (intermittent) and continuous dialytic techniques. In the SLEDD technique, we will submit a patient to a "haemodialysis" where certain characteristics are altered, such as the duration of the procedure, the flow of the dialisant and the blood pumping speed. All of this is done to adapt the technique to the delicate haemodynamic situation of the patients and in order to achieve at shorter times than with continuous techniques, the same or greater purification of urea and creatinine and a larger volume of ultrafiltered liquid. This work describes an experimental implementation of SLEDD, comparing it with a continuous technique in an intensive care unit. It was shown that it gives benefits for the patient in physiological terms, advantages for nursing personnel and also economic advantages. The mean urea and creatinine clarification rates of SLEDD are better than those of continuous techniques, and the consequences of this mixed technique in haemodynamic terms for patients are similar and sometimes less decompensating than the continuous techniques, even in situations where there is amine support.

Keywords : Sledd (Slow low efficient daily dialysis); Continuous dialytic techniques; Costs.

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