Perioperative Fluid Management in Coronary Artery Bypass Graft Patients Requiring Hemodialysis

概要

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Since the use of blood purification methods following coronary artery bypass graft (CABG) surgery in patients with hemodialysis is controversial, we therefore retrospectively compared nine patients with chronic renal failure (CRF group) with 10 patients without renal dysfunction (control group) after CABG surgery. In the CRF group, all patients underwent continuous hemodialysis (CHD) in the early postoperative period, for a mean of 34±11 hours, followed by intermittent HD. The duration of mechanical ventilation was significantly longer in th CRF group than that in the control group, but the findings of arterial blood gas data analysis were similar in the two groups. There were no significant differences in hemodynamics or postoperative blood loss between the two groups. Negative fluid balance was pronounced in the CRF group on the second postoperative day. There were no serious complications in either group. We conclude that CHD is useful for postoperative fluid management following CABG surgery in hemodialysis patients.
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