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• W941570227 startingPage "359" @default.
• W941570227 abstract "Clinicians who work regularly in the Intensive Therapy Unit (ITU) recognize that survival from acute renal failure associated with critical illness depends upon many different factors. The epidemiological studies of Knaus and his colleagues (Knaus et al. 1985a; Knaus and Zimmerman 1985) have demonstrated that age, chronic health status, severity of illness and diagnosis are four important variables which affect outcome in general intensive care patients. More importantly perhaps, since it is impossible to influence these “patient-dependent” variables which are present on admission to a general ITU, has been the identification of other factors which may be manipulated to improve outcome (Knaus et al. 1986). These include the quality of nursing care, the presence or absence of a specialist director of intensive care, the success or otherwise of the various professional relationships existing in the ITU between medical, nursing and paramedical staff and, finally, the form of treatment. These patient-independent “unit” factors which may be described as the “process of care” reflect not only the smaller issues such as the use of colloid or crystalloid to resuscitate a patient from septic shock (Demling 1986), or the form of renal replacement therapy — haemofiltration or haemodialysis (Simmonds and Mansell 1986) — locally available, but also the global problems of administration, staffing, enthusiasm and the availability of resources. In this context, it has been particularly difficult to assess the various attempts to prevent or treat patients with severe combined acute respiratory and renal failure, so-called SCARRF (Wardle 1982; Cameron 1986; Bartlett et al. 1986; Simpson et al. 1987)." @default.
• W941570227 created "2016-06-24" @default.
• W941570227 creator A5029577096 @default.
• W941570227 date "1990-01-01" @default.
• W941570227 modified "2023-09-26" @default.
• W941570227 title "The Prevention of Severe Combined Acute Respiratory and Renal Failure in the Intensive Therapy Unit" @default.
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• W941570227 doi "https://doi.org/10.1007/978-1-4471-1750-6_30" @default.

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