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master's thesis
Akutno oštećenje bubrega u bolesnika s izvantjelesnom membranskom oksigenacijom
2019. urn:nbn:hr:184:356490
Šanko, Ivana
University of Rijeka
Faculty of Medicine
Department of Anaesthesiology,reanimatology and Intensive Care

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Šanko, I. (2019). Akutno oštećenje bubrega u bolesnika s izvantjelesnom membranskom oksigenacijom (Master's thesis). Rijeka: University of Rijeka, Faculty of Medicine. Retrieved from https://urn.nsk.hr/urn:nbn:hr:184:356490

Šanko, Ivana. "Akutno oštećenje bubrega u bolesnika s izvantjelesnom membranskom oksigenacijom." Master's thesis, University of Rijeka, Faculty of Medicine, 2019. https://urn.nsk.hr/urn:nbn:hr:184:356490

Šanko, Ivana. "Akutno oštećenje bubrega u bolesnika s izvantjelesnom membranskom oksigenacijom." Master's thesis, University of Rijeka, Faculty of Medicine, 2019. https://urn.nsk.hr/urn:nbn:hr:184:356490

Šanko, I. (2019). 'Akutno oštećenje bubrega u bolesnika s izvantjelesnom membranskom oksigenacijom', Master's thesis, University of Rijeka, Faculty of Medicine, accessed 16 November 2024, https://urn.nsk.hr/urn:nbn:hr:184:356490

Šanko I. Akutno oštećenje bubrega u bolesnika s izvantjelesnom membranskom oksigenacijom [Master's thesis]. Rijeka: University of Rijeka, Faculty of Medicine; 2019 [cited 2024 November 16] Available at: https://urn.nsk.hr/urn:nbn:hr:184:356490

I. Šanko, "Akutno oštećenje bubrega u bolesnika s izvantjelesnom membranskom oksigenacijom", Master's thesis, University of Rijeka, Faculty of Medicine, Rijeka, 2019. Available at: https://urn.nsk.hr/urn:nbn:hr:184:356490

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Metadata
TitleAkutno oštećenje bubrega u bolesnika s izvantjelesnom membranskom oksigenacijom
Title (english)Acute kidney injury in patients on extracorporeal membrane oxigenation
AuthorIvana Šanko
MentorŽeljko Župan (mentor)
Committee memberVlatka Sotošek (predsjednik povjerenstva)
Committee memberIgor Medved (član povjerenstva)
Committee memberAlen Protić (član povjerenstva)
GranterUniversity of Rijeka
Faculty of Medicine
(Department of Anaesthesiology,reanimatology and Intensive Care)
Rijeka
Defense date and country2019-07-12, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Anesthesiology and Reanimatology
Abstract
Uvod: Ekstrakorporalna membranska oksigenacija (ECMO) oblik je produljene izvantjelesne kardiorespiratorne potpore kritično bolesnih pacijenata s potencijalno reverzibilnim oštećenjem funkcije srca i pluća. Postoje dvije osnovne vrste ECMO sustava, venoarterijski (VA) i venovenski (VV) ECMO. U pacijenata s ECMO potporom često se razvija akutna bubrežna ozljeda (AKI) s posljedičnom potrebom za nadomještanjem bubrežne funkcije. Ispitanici i postupci: Retrospektivna studija provedena je među bolesnicima liječenima ECMO potporom u Jedinici intenzivnog liječenja Kliničkog bolničkog centra Rijeka u periodu između prosinca 2013. do siječnja 2019. godine. ECMO potpora postavljena je na temelju dijagnoza koje odgovaraju indikacijama za primjenu VA i VV ECMO potpore. Rezultati: Ukupno je analizirano 129 bolesnika liječenih ECMO potporom. VA modalitetom liječeno je 103, a VV ECMO potporom 18 bolesnika, dok je 8 bolesnika bilo liječeno hibridnim modalitetima. Preživjelo je ukupno 77 bolesnika. Kao najčešće komplikacije pojavile su se AKI i postoperativno krvarenje, obje u 34 bolesnika. AKI se pojavila u 25 bolesnika liječenih VA, 6 bolesnika liječenih VV i 3 bolesnika liječena hibridnim modalitetima. Najčešća indikacija za liječenje ECMO potporom u bolesnika s AKI bio je septički šok. Preživjelo je ukupno 10 bolesnika, od čega 9 liječenih VA i jedan liječen VV modalitetom. Zaključak: AKI je jedna od najučestalijih komplikacija liječenja bolesnika ECMO potporom koja smanjuje njihovo preživljenje.
Abstract (english)
Introduction: Extracorporeal membrane oxygenation (ECMO) is a modality of prolonged extracorporeal cardiopulmonary support used as a supportive treatment of critically ill patients with potencially reversible cardiac or pulmonary function loss. There are two main types of ECMO systems, venoarterial (VA) and venovenous (VV) ECMO. Patients with ECMO often develop acute kidney injury (AKI) that requires renal replacement therapy. Patients and methods: Retrospective analysis was conducted in patients supported with ECMO in Intensive care unit of Clinical hospital center Rijeka from December 2013. to January 2019. ECMO was initiated based on diagnoses consistent with indications for VA and VV ECMO. Results: A total of 129 patients were analysed. 103 were supported with VA ECMO, whereas 18 were supported with VV ECMO and 8 were supported with hybrid modalities. 77 patients survived. The most common complications were AKI and postoperative hemorrhage, both occuring in 34 patients. AKI was recognized as a complication in 25 patients supported with VA, 6 patients with VV and 3 patients with hybrid ECMO modalities. The most common indication for ECMO support in patients with AKI was septic shock. 10 patients with AKI survived; 9 of them were supported with VA ECMO and one was supported with VV ECMO. Conclusion: AKI is one of the most common complications of ECMO support, with reported correlation between AKI and lower survival rate.
Keywords
Keywords (english)
Languagecroatian
URN:NBNurn:nbn:hr:184:356490
Study programmeTitle: Medicine
Study programme type: university
Study level: integrated undergraduate and graduate
Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
Type of resourceText
File originBorn digital
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2020-01-23 09:57:46