| Calcium free hemodialysis: experience in the treatment of 33 patients with severe hypercalcemia. | |
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MedLine Citation:
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PMID: 8857118 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To assess the efficacy, adverse effects and relevance of calcium-free hemodialysis (CFHD) in the treatment of major hypercalcemia. DESIGN: Retrospective chart review. SETTING: Medical ICU. PATIENTS: All patients admitted over a 9-year period for hypercalcemia requiring urgent treatment and who underwent hemodialysis. INTERVENTIONS: CFHD with an acetate dialysate. MAIN RESULTS: Thirty-three patients with severe hypercalcemia from various etiologies received CFHD. Marked and rapid decrease of serum total calcium was obtained during all sessions (mean decrease: 1.71 +/- 0.54 mmol/l). Calcium rebound within 24 h after CFHD was observed in all evaluable cases (1 +/- 0.45 mmol/l; mean delay 13.7 +/- 5.8 h). Adverse cardiovascular effects occurred in 17 of 48 sessions (35%) and in 13 of 30 evaluable patients (43%). CONCLUSIONS: Adverse effects are frequent during CFHD. After correction of hypovolemia, its use should be restricted to patients with severe clinical symptoms or advanced renal impairment. |
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Authors:
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C Camus; C Charasse; I Jouannic-Montier; P Seguin; Y L Tulzo; J Bouget; R Thomas |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Intensive care medicine Volume: 22 ISSN: 0342-4642 ISO Abbreviation: Intensive Care Med Publication Date: 1996 Feb |
Date Detail:
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Created Date: 1997-02-19 Completed Date: 1997-02-19 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 7704851 Medline TA: Intensive Care Med Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 116-21 Citation Subset: IM |
Affiliation:
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Service de Reanimation Medicale, Hopital Pontchaillou, Rennes, France. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Analysis of Variance Calcium / blood Dialysis Solutions / therapeutic use* Emergencies Female Humans Hypercalcemia / blood, therapy* Male Middle Aged Renal Dialysis / adverse effects, instrumentation, methods*, statistics & numerical data Retrospective Studies Statistics, Nonparametric Time Factors |
| Chemical | |
Reg. No./Substance:
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0/Dialysis Solutions; 7440-70-2/Calcium |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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