AUTHORS
Angélica María Tapia Tapia
KEY WORDS
Continuous veno-venous haemofiltration, septic shock, critical, filter, effectiveness.
ABSTRACT
Introduction. Renal Replacement Therapy such as Continuous Veno-Venous Haemofiltration (CVVH) in patients with septic shock as this disease shows a very high morbidity and mortality rate in hospital ICUs. Data to help determine the effectiveness of CVVH in patients with septic shock will be discussed and analysed.
The aim of this research is to evaluate the effectiveness of continuous veno-venous haemofiltration in patients with septic shock by means of a systematised review.
Material and methods: For this study, a systematised review structured according to the PRISMA® system was carried out. After formulating the research question using the PICO® system, a search was carried out in different databases with the search terms “Continuous renal replacement therapy AND shock septic”. Articles in both Spanish and English were selected, especially those published in the last 5 years. Articles with low scientific evidence were not selected.
Results: Twelve scientific articles were selected in accordance with election criteria for critical reading with the CASPe system. Each of the articles was classified according to author, year of publication, level of prevalence, socio-demographic data and level of SIGN evidence. The main biases that occurred were selection and publication biases.
Conclusions: Continuous Venous-Venous Haemofiltration in patients with septic shock is highly effective, although despite its practice in patients with cardiac disease it does not show any major benefits.