Application and nursing progress of sustained low-efficiency dialysis_West China Medical Journal

Authors：

YOU Shan ¹ , CHEN Yi ² , CHEN Chongcheng ² ,  CHEN Lin ¹

1. Hemodialysis Center of Nephrology Department, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. CKD Management Center of Nephrology Department, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

CHEN Lin, Email: hxxuetou@163.com

Keywords：

Sustained low-efficiency dialysis; Continuous renal replacement therapy; Nursing

DOI：

10.7507/1002-0179.201906007

Video：

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With chronic kidney disease becoming a public health problem in the world, dialysis treatment model has also become the focus of attention from all walks of life. Sustained low-efficiency dialysis, which adopts the mode of low blood flow and low dialysis volume, is a kind of hybrid renal replacement therapy combining continuous renal replacement therapy and intermittent hemodialysis. It has unique advantages in the treatment of patients with acute and severe renal injury, as well as the dialysis duration, patient activity range and cost. It is the most widely used hybrid renal replacement therapy too. This review summarizes the clinical application and nursing points of sustained low-efficiency dialysis to provide guidance for clinical practice.

Citation： YOU Shan, CHEN Yi, CHEN Chongcheng, CHEN Lin. Application and nursing progress of sustained low-efficiency dialysis. West China Medical Journal, 2019, 34(7): 823-826. doi: 10.7507/1002-0179.201906007 Copy

1.	Marshall MR, Golper TA, Shaver MJ, et al. Sustained low-efficiency dialysis for critically ill patients requiring renal replacement therapy. Kidney Int, 2001, 60(2): 777-785.
2.	Tolwani AJ, Wheeler TS, Wille KM. Sustained low-efficiency dialysis. Contrib Nephrol, 2007, 156: 320-324.
3.	张红霞, 余毅. 缓慢低效血液透析的应用进展. 世界临床药物, 2014, 35(2): 84-87.
4.	Kielstein JT, Kretschmer U, Ernst T, et al. Efficacy and cardiovascular tolerability of extended dialysis in critically ill patients: a randomized controlled study. Am J Kidney Dis, 2004, 43(2): 342-349.
5.	李洪, 曾丽花, 卢飞杏, 等. 持续缓慢低效血液透析和连续静脉静脉血液滤过的对照研究. 中华肾脏病杂志, 2005, 21(6): 364-366.
6.	Schwenger V, Weigand MA, Hoffmann O, et al. Sustained low efficiency dialysis using a single-pass batch system in acute kidney injury - a randomized interventional trial: the REnal replacement therapy study in intensive care unit patients. Crit Care, 2012, 16(4): R140.
7.	Marshall MR, Ma TM, Galler D, et al. Sustained low-efficiency daily diafiltration (SLEDD-f) for critically ill patients requiring renal replacement therapy: towards an adequate therapy. Nephrol Dial Transplant, 2004, 19(4): 877-884.
8.	Salahudeen AK, Kumar V, Madan N, et al. Sustained low efficiency dialysis in the continuous mode (C-SLED): dialysis efficacy, clinical outcomes, and survival predictors in critically ill cancer patients. Clin J Am Soc Nephrol, 2009, 4(8): 1338-1346.
9.	Berbece AN, Richardson RM. Sustained low-efficiency dialysis in the ICU: cost, anticoagulation, and solute removal. Kidney Int, 2006, 70(5): 963-968.
10.	Fiaccadori E, Maggiore U, Parenti E, et al. Sustained low-efficiency dialysis (SLED) with prostacyclin in critically ill patients with acute renal failure. Nephrol Dial Transplant, 2007, 22(2): 529-537.
11.	Holt BG, White JJ, Kuthiala A, et al. Sustained low-efficiency daily dialysis with hemofiltration for acute kidney injury in the presence of sepsis. Clin Nephrol, 2008, 69(1): 40-46.
12.	Lee CY, Yeh HC, Lin CY. Treatment of critically ill children with kidney injury by sustained low-efficiency daily diafiltration. Pediatr Nephrol, 2012, 27(12): 2301-2309.
13.	Wu VC, Wang CH, Wang WJ, et al. Sustained low-efficiency dialysis versus continuous veno-venous hemofiltration for postsurgical acute renal failure. Am J Surg, 2010, 199(4): 466-476.
14.	李锐钊, 梁馨苓, 陈源汉, 等. 持续低效缓慢血液透析与普通血液透析在终末期糖尿病肾病患者中的对照研究. 实用医学杂志, 2011, 27(22): 4005-4007.
15.	王婷立, 刘芳, 张凌, 等. 持续缓慢低效血液透析治疗在糖尿病肾脏疾病合并多器官功能衰竭患者中的应用. 四川大学学报(医学版), 2012, 43(3): 447-450.
16.	楼键建, 潘华良. 不同封管液对血透临时导管封管效果的影响. 世界最新医学信息文摘, 2019, 19(25): 80-81.
17.	王饶萍, 谢丹妮, 陈桂芳, 等. 糖尿病肾病患者血液透析过程中血压变化特点及护理. 护士进修杂志, 2002, 17(12): 921-922.
18.	卢飞杏, 李洪, 陈业珍. 持续缓慢低效血液透析的护理体会. 护士进修杂志, 2008, 23(6): 544-545.
19.	孟建中, 刘文渊, 王素霞, 等. 持续缓慢低效血液透析对透析中顽固性低血压患者血液动力学的影响. 实用医药杂志, 2011, 28(6): 481-484.
20.	代明金, 周丹, 张雪梅, 等. i-STAT便携式血气分析仪在连续性肾脏替代治疗中的应用. 华西医学, 2013, 28(2): 263-264.
21.	陈志文, 王星, 代明金, 等. 持续缓慢低效血液透析患者应用枸橼酸抗凝的护理. 中华护理杂志, 2013, 48(11): 978-980.
22.	陈香美. 血液净化标准操作规程. 北京: 人民军医出版社, 2010.
23.	张凌, 李佩芸, 魏甜甜, 等. 简化枸橼酸抗凝技术在持续缓慢低效血液透析中的临床应用. 华西医学, 2018, 33(7): 838-842.
24.	周薇, 周利民, 魏红, 等. 持续缓慢低效透析在抢救重危老年肾衰患者中的应用与护理. 实用临床医药杂志, 2011, 15(16): 25-26.
25.	冉玉力, 叶敏, 谭华. 不同封管方法在血液透析留置导管并高危出血患者中的应用. 实用中西医结合临床, 2012, 12(3): 53-54.
26.	王质刚. 杂合肾脏替代概念及发展前景. 中国血液净化, 2009, 8(12): 639-643.
27.	付平, 张凌. 杂合肾脏替代治疗的临床应用. 中国血液净化, 2011, 10(1): 7-9.

1. Marshall MR, Golper TA, Shaver MJ, et al. Sustained low-efficiency dialysis for critically ill patients requiring renal replacement therapy. Kidney Int, 2001, 60(2): 777-785.
2. Tolwani AJ, Wheeler TS, Wille KM. Sustained low-efficiency dialysis. Contrib Nephrol, 2007, 156: 320-324.
3. 张红霞, 余毅. 缓慢低效血液透析的应用进展. 世界临床药物, 2014, 35(2): 84-87.
4. Kielstein JT, Kretschmer U, Ernst T, et al. Efficacy and cardiovascular tolerability of extended dialysis in critically ill patients: a randomized controlled study. Am J Kidney Dis, 2004, 43(2): 342-349.
5. 李洪, 曾丽花, 卢飞杏, 等. 持续缓慢低效血液透析和连续静脉静脉血液滤过的对照研究. 中华肾脏病杂志, 2005, 21(6): 364-366.
6. Schwenger V, Weigand MA, Hoffmann O, et al. Sustained low efficiency dialysis using a single-pass batch system in acute kidney injury - a randomized interventional trial: the REnal replacement therapy study in intensive care unit patients. Crit Care, 2012, 16(4): R140.
7. Marshall MR, Ma TM, Galler D, et al. Sustained low-efficiency daily diafiltration (SLEDD-f) for critically ill patients requiring renal replacement therapy: towards an adequate therapy. Nephrol Dial Transplant, 2004, 19(4): 877-884.
8. Salahudeen AK, Kumar V, Madan N, et al. Sustained low efficiency dialysis in the continuous mode (C-SLED): dialysis efficacy, clinical outcomes, and survival predictors in critically ill cancer patients. Clin J Am Soc Nephrol, 2009, 4(8): 1338-1346.
9. Berbece AN, Richardson RM. Sustained low-efficiency dialysis in the ICU: cost, anticoagulation, and solute removal. Kidney Int, 2006, 70(5): 963-968.
10. Fiaccadori E, Maggiore U, Parenti E, et al. Sustained low-efficiency dialysis (SLED) with prostacyclin in critically ill patients with acute renal failure. Nephrol Dial Transplant, 2007, 22(2): 529-537.
11. Holt BG, White JJ, Kuthiala A, et al. Sustained low-efficiency daily dialysis with hemofiltration for acute kidney injury in the presence of sepsis. Clin Nephrol, 2008, 69(1): 40-46.
12. Lee CY, Yeh HC, Lin CY. Treatment of critically ill children with kidney injury by sustained low-efficiency daily diafiltration. Pediatr Nephrol, 2012, 27(12): 2301-2309.
13. Wu VC, Wang CH, Wang WJ, et al. Sustained low-efficiency dialysis versus continuous veno-venous hemofiltration for postsurgical acute renal failure. Am J Surg, 2010, 199(4): 466-476.
14. 李锐钊, 梁馨苓, 陈源汉, 等. 持续低效缓慢血液透析与普通血液透析在终末期糖尿病肾病患者中的对照研究. 实用医学杂志, 2011, 27(22): 4005-4007.
15. 王婷立, 刘芳, 张凌, 等. 持续缓慢低效血液透析治疗在糖尿病肾脏疾病合并多器官功能衰竭患者中的应用. 四川大学学报(医学版), 2012, 43(3): 447-450.
16. 楼键建, 潘华良. 不同封管液对血透临时导管封管效果的影响. 世界最新医学信息文摘, 2019, 19(25): 80-81.
17. 王饶萍, 谢丹妮, 陈桂芳, 等. 糖尿病肾病患者血液透析过程中血压变化特点及护理. 护士进修杂志, 2002, 17(12): 921-922.
18. 卢飞杏, 李洪, 陈业珍. 持续缓慢低效血液透析的护理体会. 护士进修杂志, 2008, 23(6): 544-545.
19. 孟建中, 刘文渊, 王素霞, 等. 持续缓慢低效血液透析对透析中顽固性低血压患者血液动力学的影响. 实用医药杂志, 2011, 28(6): 481-484.
20. 代明金, 周丹, 张雪梅, 等. i-STAT便携式血气分析仪在连续性肾脏替代治疗中的应用. 华西医学, 2013, 28(2): 263-264.
21. 陈志文, 王星, 代明金, 等. 持续缓慢低效血液透析患者应用枸橼酸抗凝的护理. 中华护理杂志, 2013, 48(11): 978-980.
22. 陈香美. 血液净化标准操作规程. 北京: 人民军医出版社, 2010.
23. 张凌, 李佩芸, 魏甜甜, 等. 简化枸橼酸抗凝技术在持续缓慢低效血液透析中的临床应用. 华西医学, 2018, 33(7): 838-842.
24. 周薇, 周利民, 魏红, 等. 持续缓慢低效透析在抢救重危老年肾衰患者中的应用与护理. 实用临床医药杂志, 2011, 15(16): 25-26.
25. 冉玉力, 叶敏, 谭华. 不同封管方法在血液透析留置导管并高危出血患者中的应用. 实用中西医结合临床, 2012, 12(3): 53-54.
26. 王质刚. 杂合肾脏替代概念及发展前景. 中国血液净化, 2009, 8(12): 639-643.
27. 付平, 张凌. 杂合肾脏替代治疗的临床应用. 中国血液净化, 2011, 10(1): 7-9.

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