November - 2012
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Ultrafiltration in Decompensated Heart Failure with Cardiorenal Syndromethe Heart Failure Clinical Research Network N Engl J Med, 2012, November 6, 2012DOI: 10.1056/NEJMoa1210357 This page is only available to Crit-IQ subscribers. To view the rest of this review and gain access to our vast array of critical care teaching tools including podcasts, vodcasts, modules, exam preparation tools, teaching aids and much more, login here, or Become a Member to register |
November |
Previous Comments
| What a relief. Just imagine ICUs full of end stage decompensated Cardiac patients on CVVHF. If maximum pharmacological therapy, synchronisation therapy, correcting ischemia and hypertension aren't helping, there is not much more that can be done. It is probably time for the Physician to have that 'end of life conversation' which they have so conveniently not paid attention to and have shyed away from. | |
| phew!-30 Nov, 2012 11:31:13 PM | |
Comment
This study randomised patients with acute decompensated heart failure, worsened renal function, and persistent congestion to a strategy of stepped pharmacologic therapy (94 patients) or ultrafiltration (94 patients). The primary outcome was change in creatinine and weight at 96...