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Continuous Arteriovenous Hemofiltration in the Critically Ill Patient: Clinical Use and Operational Characteristics

ALLAN LAUER, M.D.; ANNA SACCAGGI, M.D.; CLAUDIO RONCO, M.D.; MARIO BELLEDONNE, M.D.; SHELDON GLABMAN, M.D.; and JUAN P. BOSCH, M.D.
[+] Article and Author Information

Presented in part in December 1982 at the combined Clinical Dialysis and Transplantation Forum/American Society of Nephrology Meeting; Chicago, Illinois.

▸Requests for reprints should be addressed to Juan P. Bosch, M.D.; Mount Sinai School of Medicine, Renal Division/Annenberg 23-38, 1 Gustave Levy Place; New York, NY 10029.


New York, New York


© 1983 American College of PhysiciansAmerican College of Physicians


Ann Intern Med. 1983;99(4):455-460. doi:10.7326/0003-4819-99-4-455
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Continuous arteriovenous hemofiltration is an extracorporeal technique for the treatment of fluid overload and electrolyte disturbances and for the removal of urea nitrogen. This technique is especially applicable in critically ill patients with hemodynamic instability. A special filter and modified hemodialysis blood lines can easily and rapidly be attached to a patient. No special blood access is needed. Fluids and solutes are removed from the patient by ultrafiltration. A net filtration pressure inside the filter causes an ultrafiltrate to form. The extracorporeal circuit can be kept in place for hours or days.

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