CRRT is indicated for all critical pts . Oncohematological pts as all oncological pts should be treated only if they could have , at list , a minimal life expectancy .
It has been shown that ventilatory and cardiovascular support along with CRRT can benefit oncohematological pediatric patients if promptly established. Even if admissions are not considered futile anymore, there are always sensitive questions, including ethical issues. Anyway, if after admission there is absence of improvment, or progression of multiple organ failure, the care plan should be reviewed and, in many times, the option is palliative care.
It depends on indications and clinical conditions (fist of - all hemodynamic stability). What is the cause of renal failure? For example - sepsis - CRRT (hemo- or hemodiafiltration) 12-24 or more hrs. Pre-renal failure after massive blood loss and risk of haemorrhage - short-term dialysis may be better, and so on. Can anybody compare such different patients in a trial?
- Badges
- Science topic