Scheenstra, B. (2012) Evaluatie van de sublinguale microcirculatie middels Sidestream Dark Field (SDF) imaging bij patiënten die continue veno-veneuze hemofiltratie ondergaan op de Intensive Care. thesis, Medicine.
Full text available on request.Abstract
Ultrafiltration during intermitted haemodialysis has been associated with a reduction in microcirculatory perfusion, as observed with SDF imaging. This technique has also been useful in the evaluation of the volume status in critically ill patients. So far no data is available about the influence of ultrafiltration during CVVH on microcirculatory perfusion. In this single centre prospective observational study, patients with acute renal failure on CVVH were included after hemodynamic stabilisation. The substitution-rate of substitution fluid was stepwise reduced until a rate was reached, that every hour a negative fluid balance was attained. At the start of the study and one hour after the aimed substation-rate was reached the microcirculation was observed with SDF imaging. Primary outcome was a change in MFI. A reduction of the cumulative fluid balance by CVVH was not associated with microcirculatory perfusion alterations, p = 0.34.
| Item Type: | Thesis (Thesis) |
|---|---|
| Supervisor name: | Facultair begeleider: and Boerma, E.C. M.D. and Intensive Care, Medische Centrum Leeuwarden |
| Faculty: | Medical Sciences |
| Date Deposited: | 25 Jun 2020 10:51 |
| Last Modified: | 25 Jun 2020 10:51 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/1251 |
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