Document Detail


Continuous arteriovenous hemodiafiltration: an aggressive approach to the management of acute renal failure.
MedLine Citation:
PMID:  3337098     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Continuous arteriovenous hemodiafiltration (CAVHD) offers a modified therapeutic approach to the patient with acute renal failure. The system employs a hollow-fiber dialyzer, whose perfusion is dependent on the patient's BP. Peritoneal dialysis solution is infused through the dialysate ports in a direction countercurrent to blood flow at a rate of 500 to 1,500 mL/h. Five complex patients with acute renal failure were treated with CAVHD for periods ranging from two to 40 days. Urea clearances approached 37 L/d, and in stable patients, the BUN was maintained at 40 to 60 mg/dL and serum creatinine 1.4 to 4.0 mg/dL. Ultrafiltration up to 1 L/h could be obtained without difficulty. CAVHD is a safe and technically simple procedure that is particularly suitable for hemodynamically unstable patients with ongoing needs for fluid removal.
Authors:
M E Pattison; S M Lee; D A Ogden
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of kidney diseases : the official journal of the National Kidney Foundation     Volume:  11     ISSN:  0272-6386     ISO Abbreviation:  Am. J. Kidney Dis.     Publication Date:  1988 Jan 
Date Detail:
Created Date:  1988-02-24     Completed Date:  1988-02-24     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8110075     Medline TA:  Am J Kidney Dis     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  43-7     Citation Subset:  IM    
Affiliation:
Department of Internal Medicine, University of Arizona, Tucson.
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MeSH Terms
Descriptor/Qualifier:
Blood Pressure
Blood Urea Nitrogen
Hemofiltration*
Heparin / therapeutic use
Humans
Kidney Failure, Acute / therapy*
Time Factors
Chemical
Reg. No./Substance:
9005-49-6/Heparin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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