Early Implementation of Continuous Renal Replacement Therapy Optimizes Casualty Evacuation for Combat-Related Acute Kidney Injury

Abstract

The purpose of this report was to review the initial use and feasibility of continuous renal replacement therapy (CRRT) among combat casualties in a war zone. Although rapid evacuation to more advanced levels of care has emerged as the standard approach, life-threatening sequelae of acute kidney injury (AKI) can preclude safe patient evacuation. For the first time in US combat casualty care, a sustained, intensivist-led CRRT program was initiated during 2010 at an Air Force theater hospital. A prospective study of consecutive US service members (USSMs) who developed combat-related renal failure and underwent CRRT at the Craig Joint Theater Hospital was undertaken. Baseline patient characteristics, indications for CRRT, laboratory values, and outcomes were evaluated. Intensivist-led CRRT is an effective therapeutic adjunct in the treatment of combat-related AKI. Provision of this extracorporeal therapy provides physiologic stabilization of casualties who might otherwise succumb to the sequelae of combat-related renal failure. These findings suggest that a self-sustaining CRRT program can be successfully implemented in combat support hospitals.

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Document Details

Document Type
Technical Report
Publication Date
Aug 01, 2013
Accession Number
ADA615092

Entities

People

  • Christian Benjamin
  • David Zonies
  • Jeremy Cannon
  • Joel Elterman
  • Joseph Dubose
  • Kevin K Chung
  • Todd Bruno

Organizations

  • United States Army Institute of Surgical Research

Tags

DTIC Thesaurus Topics

  • Blood
  • Casualties
  • Combat Casualty Care
  • Combat Support Hospitals
  • Diseases And Disorders
  • Evacuation
  • Health Services
  • Kidney Diseases
  • Medical Evacuation
  • Medical Personnel
  • Military Hospitals
  • Military Medicine
  • Patient Care
  • Therapy

Fields of Study

  • Medicine

Readers

  • Cardiovascular Physiology
  • Medical or Health Care Field.
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