By J. S. Cameron (auth.), David Bihari MA, MRCP, Guy Neild MD, FRCP (eds.)
A workshop was once organised so as to in attaining multi-discipli- nary evaluate of the pathogenesis and administration of acute failure, relatively because it happens and is controlled in extensive treatment devices. The e-book offers with the realities and practicalities of this crucial region of acute medication. each one bankruptcy is by means of a dialogue, in order that a concen- sus view is received from a world physique of experts.
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Extra info for Acute Renal Failure in the Intensive Therapy Unit
4%, higher than that found in previous studies in France (Chapman 1978) and in the United States (Pru et al. 1982), where the reported figures range between 8% and 16%. Some authors have stressed that the resolution time may extend for up to several months, especially in patients with antibiotic-induced ARF (Appel and Neu 1977). Since the period of follow-up was 3 to 6 months in most of our patients, it is possible that some of them may have recovered later, and that the incidence of renal sequelae was overestimated.
Of course, cross infection is facilitated by the hands of attendants allowing the colonizing Gram-negative rods in one patient to become an invasive pathogen in hislher more compromised neighbour. Cross infection in this manner has been shown with Klebsiella (Adler et al. 1970), Serratia (Mutton et al. 1981), Acinetobacter (French et al. 1980) and P. aeruginosa (Noone et al. 1983). Hand washing in ITU can be perfunctory or even overlooked altogether (Albert and Condie 1981). In the CDC surveillance study (Horan et al.
2% of total deaths. involved. In our experience, deaths due to gastrointestinal haemorrhage have decreased from 25% (Kleinknecht and Ganeval1973) to 3% in the recent years. This decrease has been obtained despite a high incidence of deaths due to septicaemia, which is often associated, on its own, with haemorrhage of the upper gastrointestinal tract (Le Gall et al. 1976). 3). The high number of deaths due to central nervous disorders or to surgical complications reported by Glaser et al. (1981) is relevant to the surgical orientation of the unit, connected in this case with a neurosurgical service.
Acute Renal Failure in the Intensive Therapy Unit by J. S. Cameron (auth.), David Bihari MA, MRCP, Guy Neild MD, FRCP (eds.)