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Indore, Madhya Pradesh
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Critical Case & Dialysis

Critical Care Treatments

Critical care treatments encompass a wide range of medical interventions designed to manage life-threatening conditions and provide comprehensive support to patients in critical health states. These treatments include mechanical ventilation, which assists with breathing in cases of severe respiratory failure, and cardiopulmonary resuscitation (CPR) to restore circulation during cardiac arrest. Intravenous medications stabilize blood pressure, treat infections, and address critical issues. Hemodynamic monitoring continuously assesses vital signs and cardiac output, guiding treatment decisions. Extracorporeal Membrane Oxygenation (ECMO) offers heart and lung support, while various invasive procedures, such as central line placement and chest tube insertion, manage specific issues.

  • Mechanical Ventilation: In cases of respiratory failure, mechanical ventilators provide life-saving support by helping patients breathe. Different modes and settings are tailored to the patient’s needs.

  • Cardiopulmonary Resuscitation (CPR): In cardiac arrest situations, CPR involves chest compressions and rescue breaths to restore circulation and oxygen supply to vital organs.

  • Intravenous Medications: Intravenous (IV) medications are administered to stabilize blood pressure, manage infections, provide pain relief, and treat specific critical conditions.

  • Hemodynamic Monitoring: Continuous monitoring of vital signs and cardiac output helps healthcare providers assess a patient’s circulatory status and guide treatment decisions.

  • Extracorporeal Membrane Oxygenation (ECMO): ECMO is used when a patient’s heart or lungs are severely compromised. It involves external machines that temporarily replace the function of the heart and/or lungs.

  • Invasive Procedures: Critical care may involve various invasive procedures such as central line placement, chest tube insertion, and percutaneous tracheostomy to manage and stabilize patients.

Dialysis Treatments

Dialysis is a treatment for people whose kidneys are failing. When you have kidney failure, your kidneys don’t filter blood the way they should. As a result, wastes and toxins build up in your bloodstream. Dialysis does the work of your kidneys, removing waste products and excess fluid from the blood.

  • Hemodialysis: Hemodialysis involves filtering a patient’s blood through a machine (dialyzer) to remove waste products and excess fluids when the kidneys are unable to do so.

  • Peritoneal Dialysis: In this method, a dialysis solution is introduced into the abdomen, where it absorbs waste products and excess fluid. The solution is later drained out.

  • Continuous Ambulatory Peritoneal Dialysis (CAPD): CAPD is a type of peritoneal dialysis that can be done at home without the need for a machine, using gravity for fluid exchange.

  • Continuous Cycling Peritoneal Dialysis (CCPD): CCPD is another home-based peritoneal dialysis method that uses a machine to perform exchanges while the patient sleeps.

  • Kidney Transplant: For patients with end-stage renal disease, kidney transplantation is the most definitive treatment, providing a functioning kidney to replace the failed ones.

  • Plasmapheresis: Plasmapheresis is used in specific cases to remove antibodies or toxins from the blood, such as in autoimmune disorders or certain poisonings.

In the last five year, 198 critic patients developed acute renal failure, requiring hemodialysis in the hospital.  The sepsis and the cardiorrespiratory complications were the cause of mortality most important. The 14% of the surviving requiring continue in the programs of hemodyalisis.

Dialysis patients account for 1%-9% of all intensive care unit (ICU) admissions. As a result of the increasing prevalence of patients treated with long-term dialysis and the changing demographics of this population, the number of dialysis patients requiring hospitalization and ICU support is expected to increase. Critically ill dialysis patients have more comorbid conditions and higher severity of illness than the general population, resulting in higher ICU and in-hospital mortality rates, but lower than for critically ill patients with acute kidney injury, suggesting that illness severity may contribute more to adverse outcomes than dialysis status.

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