UTILITY OF HEMODIALYSIS FOR COMBAT PATIENTS WITH ACUTE KIDNEY FAILURE: AN EXPERIENCE OF ROLE 4 DEPLOYED FIELD HOSPITAL IN RUSSO UKRAINIAN WAR

Slot ID

PE101

Abstract Title

Author Details

No. of Authors

8

Including the presenting author

Author 1

Igor Luring lurinnamn@ukr.net National Academy of Medical Sciences of Ukraine Department of Surgery Kyiv Ukraine

Author 2

Eduard Khoroshun ehoroshun@i.ua Military Medical Teaching Center of the Northern Region of Ministry of Defense of Ukraine Department of Thoraco-abdominal Surgery Kharkiv Ukraine

Author 3

Vatalii Makarov docvvmakarov@gmail.com Kharkiv National Medical University Department of Surgery #4 Kharkiv Ukraine

Author 4

Volodymyr Nehoduiko vol-ramzes13@ukr.net Military Medical Teaching Center of the Northern Region of Ministry of Defense of Ukraine Department of Thoraco-abdominal Surgery Kharkiv Ukraine

Author 5

Serhii Shypilov drshypilov@ukr.net Military Medical Teaching Center of the Northern Region of Ministry of Defense of Ukraine Department of Thoraco-abdominal Surgery Kharkiv Ukraine

Author 6

Valentyn Bondarenko valentyn0205@gmail.com Military Medical Teaching Center of the Northern Region of Ministry of Defense of Ukraine Department of Thoraco-abdominal Surgery Kharkiv Ukraine

Author 7

Semen Goncharenko goncharenkoscn@gmail.com Military Medical Teaching Center of the Northern Region of Ministry of Defense of Ukraine Department of Thoraco-abdominal Surgery Kharkiv Ukraine

Author 8

Andrii Dinets andrii.dinets@gmail.com National Academy of Medical Sciences of Ukraine Department of Surgery Kyiv Ukraine *

Author 9

Author 10

Author 11

Author 12

Presenting Author Name

Andrii Dinets

Presenting Author Email

andrii.dinets@gmail.com

Presenting Author Country

Ukraine

Abstract

Abstract type

Oral or Poster

Introduction *

Russia-Ukraine war shows various kinds of ballistic injuries due application of all kinds of weapon against Ukrainian soldiers. These injuries are frequently severe and complicated, with frequent diagnosis of acute kidney failure. The aim of this study was to investigate and evaluate utility of hemodialysis in combat patients treated in deployed filed hospital in Ukraine.

Material & Method *

A 222 combat patients were diagnosed with acute kidney failure after ballistic injury and treated with 536 sessions of hemodialysis. Hemodialysis was performed in Role 4 deployed field hospital.

Results *

A continuous renal replacement rherapy (CRRT) was performed in 123 (55.4%) patients requiring 211 hemodialysis sessions, whereas persistent hemodialysis was provided to 99 (44.6%) patients with hemodialysis sessions 325 (60,6%). There were following indications for the hemodialysis: 63 (28.4%) patients with gunshot wound to the extremities with prolonged compartment syndrome, 59 (26.6%) patients with combined gunshot wounds; 47 (21.2%) patients with gunshot-related sepsis, 12 (5.4%) patients with burns; –17 (7.6%) patients due to exposure to chemical weapon; 22 (9.9%) patients with pancreatonecrosis, pneumonia, liver cirrhosis. The higher frequency of bleeding was detected in 30 (24%) patients with CRRT as compared to 10 (10%) patients with persistent hemodialysis (p=0.0079).

Conclusion *

Hemodialysis might be in use in deployed filed hospital. Hemodialysis is useful tool to treat combat-related kidney failure with a relatively low rate of bleeding.

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International Society of Surgery (ISS)

Société Internationale de Chirurgie (SIC)

UTILITY OF HEMODIALYSIS FOR COMBAT PATIENTS WITH ACUTE KIDNEY FAILURE: AN EXPERIENCE OF ROLE 4 DEPLOYED FIELD HOSPITAL IN RUSSO UKRAINIAN WAR andrii.dinets@gmail.com