<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1726-6718</journal-id>
<journal-title><![CDATA[Revista Cubana de Anestesiología y Reanimación]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Cuban de Anestesiol y Reanim]]></abbrev-journal-title>
<issn>1726-6718</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1726-67182023000100004</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Reemplazo renal continuo precoz en el posoperatorio de cirugía cardiovascular]]></article-title>
<article-title xml:lang="en"><![CDATA[Early continuous renal replacement in post cardiovascular surgery]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández González]]></surname>
<given-names><![CDATA[Alberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[de Dios Soler Morejón]]></surname>
<given-names><![CDATA[Caridad]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mulet Gámez]]></surname>
<given-names><![CDATA[Agustín Meynardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lorié Valera]]></surname>
<given-names><![CDATA[Adrián]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Díaz Camacho]]></surname>
<given-names><![CDATA[Amanda]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Clínico Quirúrgico &#8220;Hermanos Ameijeiras&#8221;  ]]></institution>
<addr-line><![CDATA[ La Habana]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2023</year>
</pub-date>
<volume>22</volume>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1726-67182023000100004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1726-67182023000100004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1726-67182023000100004&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La terapia de reemplazo renal continua es un procedimiento novedoso que se aplica al tratamiento de la falla renal aguda en el paciente grave, así como del síndrome de respuesta inflamatoria sistémica. Se aplica de preferencia en aquellos pacientes que cursan con deterioro hemodinámico en los cuales el tratamiento dialítico intermitente puede ser perjudicial por la relativa rapidez con que se produce el recambio. No obstante, no existe consenso en cuanto a su uso precoz.  Objetivo: Presentar el caso de un paciente grave en la que se realizó terapia de reemplazo renal continua precoz.  Presentación de caso:  Paciente de 48 años de edad, con antecedentes de enfermedad renal crónica grado V, en régimen de hemodiálisis intermitente, hipertensión arterial y obesidad, que ingresó a la unidad de cuidados intensivos cardiovasculares del Hospital &#8220;Hermanos Ameijeiras&#8221;, en el posoperatorio inmediato y complicado de cirugía de sustitución valvular aórtica; en la cual la terapia de reemplazo renal continua precoz, resultó ser eficiente para el tratamiento de la falla renal crónica agudizada, ya que permitió mantener un buen control de la hemodinámica del medio interno y la volemia.  Conclusiones:  La experiencia mostrada aporta elementos a favor de la seguridad del tratamiento, que lo hace recomendable en el paciente grave poscirugía cardiovascular, como parte del arsenal terapéutico a utilizar.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  continuous renal replacement therapy is a novel procedure that is applied to the treatment of acute renal failure in critically ill patients, as well as systemic inflammatory response syndrome. It is preferably applied in those patients with hemodynamic deterioration in whom intermittent dialysis treatment can be harmful due to the relative speed with which replacement occurs. However, there is no consensus regarding its early use.  Objective:  to present the case of a seriously ill patient who underwent early continuous renal replacement therapy.  Case report:  a 48-year-old patient, with a history of grade V chronic kidney disease, on an intermittent hemodialysis regimen, high blood pressure and obesity, who was admitted to the Cardiovascular Intensive Care Unit of the Hermanos Ameijeiras Hospital in the immediate postoperative period and complicated by aortic valve replacement surgery; in which early continuous renal replacement therapy turned out to be efficient for the treatment of acute chronic renal failure, since it allowed maintaining good control of hemodynamics, the internal environment and blood volume.  Conclusions:  the experience shown provides elements in favor of the safety of the treatment, which makes it recommendable in the seriously ill patient after cardiovascular surgery, as part of the therapeutic arsenal to be used.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[insuficiencia renal]]></kwd>
<kwd lng="es"><![CDATA[terapia de reemplazo renal]]></kwd>
<kwd lng="es"><![CDATA[cirugía cardíaca]]></kwd>
<kwd lng="es"><![CDATA[período posoperatorio]]></kwd>
<kwd lng="es"><![CDATA[cuidados intensivos]]></kwd>
<kwd lng="en"><![CDATA[renal failure]]></kwd>
<kwd lng="en"><![CDATA[renal replacement therapy]]></kwd>
<kwd lng="en"><![CDATA[thoracic surgery]]></kwd>
<kwd lng="en"><![CDATA[postoperative period]]></kwd>
<kwd lng="en"><![CDATA[critical care]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Zou]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Hong]]></surname>
<given-names><![CDATA[Q]]></given-names>
</name>
<name>
<surname><![CDATA[Xu G]]></surname>
<given-names><![CDATA[XG]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Early versus late initiation of renal replacement therapy impacts mortality in patients with acute kidney injury post cardiac surgery a meta-analysis]]></article-title>
<source><![CDATA[Crit Care]]></source>
<year>2017</year>
<volume>21</volume>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Wang]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Bellomo]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cardiac surgery-associated acute kidney injury: risk factors, pathophysiology and treatment]]></article-title>
<source><![CDATA[Nat. Rev Nephrol]]></source>
<year>2017</year>
<volume>13</volume>
<page-range>697-711</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gaudry]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Grolleau]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Barbar]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Martin-Lefevre]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Pons]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Boulet]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Continuous renal replacement therapy versus intermittent hemodialysis as first modality for renal replacement therapy in severe acute kidney injury a secondary analysis of AKIKI and IDEAL-ICU studies]]></article-title>
<source><![CDATA[Critical Care]]></source>
<year>2022</year>
<volume>26</volume>
</nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Martínez Villar]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Charco Roca]]></surname>
<given-names><![CDATA[LM]]></given-names>
</name>
<name>
<surname><![CDATA[Fernández Ruipérez]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Canales Lara]]></surname>
<given-names><![CDATA[PM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Aproximación a las terapias de remplazo renal continuas]]></article-title>
<source><![CDATA[Rev Elect Anestesiar]]></source>
<year>2022</year>
<volume>14</volume>
<numero>2</numero>
<issue>2</issue>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sosa Medellin]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Terapia de reemplazo renal continua Conceptos, indicaciones y aspectos básicos de su programación]]></article-title>
<source><![CDATA[MedInt. Mex]]></source>
<year>2018</year>
<volume>34</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>288-98</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="">
<source><![CDATA[EuroSCORE para evaluación de riesgo de cirugía cardíaca (versión aditiva)]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Zamarrón López]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Ramírez Gutiérrez]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Pérez Nieto]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Villa Cortés]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Guerrero Guitiérrez]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Uribe Moya]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Abordaje contemporáneo del choque cardiogénico]]></article-title>
<source><![CDATA[Revista Chilena de Anestesia]]></source>
<year>2021</year>
<volume>50</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>799-805</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Alonso Valdés]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
<name>
<surname><![CDATA[Hernández Román]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[de Arazoza Hernández]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Falcón Guerra]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Nodal Leyva]]></surname>
<given-names><![CDATA[PE]]></given-names>
</name>
<name>
<surname><![CDATA[Sainz Cabrera]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Insuficiencia renal aguda en el perioperatorio de cirugía cardiovascular]]></article-title>
<source><![CDATA[Rev Cuban Anestesiol y Reanim]]></source>
<year>2019</year>
<volume>18</volume>
</nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ejaz]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Kambhampati]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Ejaz]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Dass]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Lapsia]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Arif]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Post-operative serum uric acid and acute kidney injury]]></article-title>
<source><![CDATA[J Nephrol]]></source>
<year>2012</year>
<volume>25</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>497-505</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bellomo]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Auriemma]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Fabbri]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[D&amp;apos;Onofrio]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Katz]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[McCullough]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The pathophysiology of cardiac surgery-associated acute kidney injury (CSA-AKI)]]></article-title>
<source><![CDATA[Int J Artif Organs]]></source>
<year>2008</year>
<volume>31</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>166-78</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Stein]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[de Souza]]></surname>
<given-names><![CDATA[LV]]></given-names>
</name>
<name>
<surname><![CDATA[Belettini]]></surname>
<given-names><![CDATA[CR]]></given-names>
</name>
<name>
<surname><![CDATA[Menegazzo]]></surname>
<given-names><![CDATA[WR]]></given-names>
</name>
<name>
<surname><![CDATA[Viegas]]></surname>
<given-names><![CDATA[JR]]></given-names>
</name>
<name>
<surname><![CDATA[Costa Pereira]]></surname>
<given-names><![CDATA[EM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Fluid overload and changes in serum creatinine after cardiac surgery: predictors of mortality and longer intensive care stay. A prospective cohort study]]></article-title>
<source><![CDATA[Crit Care]]></source>
<year>2012</year>
<volume>16</volume>
<numero>3</numero>
<issue>3</issue>
</nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mengarelli]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Pichon Riviere]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Augustovski]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[García Marti]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Alcaraz]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Bardach]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<source><![CDATA[Terapias de reemplazo renal e insuficiencia renal aguda]]></source>
<year>2020</year>
<publisher-loc><![CDATA[Buenos Aires Argentina ]]></publisher-loc>
<publisher-name><![CDATA[Evaluación de Tecnologías Sanitarias, informe de Respuesta rápida No 750]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Xiao]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Xiao]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Cheng]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Li]]></surname>
<given-names><![CDATA[Q]]></given-names>
</name>
<name>
<surname><![CDATA[Li]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[He]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The Efficacy and Safety of Early Renal Replacement Therapy in Critically Ill Patients With Acute Kidney Injury A Meta-Analysis With Trial Sequential Analysis of Randomized Controlled Trials]]></article-title>
<source><![CDATA[Front Med]]></source>
<year>2022</year>
<volume>9</volume>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
