Assessing the Impact of Two Methods of Continuous Veno-venous Hemodiafiltration on Time Nursing Work in Intensive Care
Study Details
Study Description
Brief Summary
The prevalence of acute renal failure in intensive care is estimated at between 5 and 20% depending on diagnostic criteria retained. And half of patients require the use of hemodialysis. Continuous veno-venous hemodiafiltration (CVVHDF) is one of the hemodialysis technique widely used in intensive care unit.
The CVVHDF is performed at the bedside, by a mobile generator with a semi permeable membrane, a blood circuit, a dialysate circuit and a feedback circuit.
The implementation of a CVVHDF requires the use of large amounts of biological liquid essential to enable the purification of blood during its passage through the artificial kidney.
The objective of this study is to assess time nursing work and the costs of each method.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Detailed Description
The prevalence of acute renal failure in intensive care is estimated at between 5 and 20% depending on diagnostic criteria retained. And half of patients require the use of hemodialysis. Continuous veno-venous hemodiafiltration (CVVHDF) is one of the hemodialysis technique widely used in intensive care unit.
The CVVHDF is performed at the bedside, by a mobile generator with a semi permeable membrane, a blood circuit, a dialysate circuit and a feedback circuit.
The implementation of a CVVHDF requires the use of large amounts of biological liquid essential to enable the purification of blood during its passage through the artificial kidney. The biological fluid may be supplied to the generator of CVVHDF in 2 ways:
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The conventional method, the most used: the generator operates with pockets containing dialysis fluid, these pockets to be changed regularly by nurses
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The on-line method: the generator operates with a specific water system supplying the dialysis fluid available in every room of the unit The objective of this study is to assess time nursing work and the costs of each method.
For this, 15 patients will be included in this study. Each patient performs 12 hours of each method (conventional and online), whose order will be randomized.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: CVVHDF on-line CVVHDF using a central water treatment plant, providing dialysate directly to the patient. They will perform a continuous veno-venous haemodiafiltration. |
Procedure: Continuous veno-venous haemodiafiltration
Dialysis procedure administrated to the patients with acute renal failure
Other Names:
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| Experimental: classical CVVHDF CVVHDF using a mobile generator with dialysate bags. They will perform a continuous veno-venous haemodiafiltration. |
Procedure: Continuous veno-venous haemodiafiltration
Dialysis procedure administrated to the patients with acute renal failure
Other Names:
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Outcome Measures
Primary Outcome Measures
- time of nursing work required to realised a CVVHDF as a conventional and on line methods modality of supply compared to a method on-line [Day 1]
The end of the study for the patient corresponds to the end of CVVHDF conventional and on line.
Secondary Outcome Measures
- costs of CVVHDF performed using a conventional and on-line methods [Day 1]
The end of the study for the patient corresponds to the end of CVVHDF conventional and on line.
Eligibility Criteria
Criteria
Inclusion Criteria:
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Patient affiliated with or beneficiary of a social security category
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Patient with a renal failure requiring a CVVHDF for at least 2 cycles of 12 hours
Exclusion Criteria:
- N/A
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- Centre Hospitalier Universitaire de Saint Etienne
Investigators
- Principal Investigator: Manolie Mehdi, MD, CHU Saint Etienne
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 1008019
- 2010-A00695-34