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Blood Purification in Acute Renal Failure

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University of Missouri Health Sciences Center and Harry S. Truman Veterans Administration Memorial Hospital; Columbia, Missouri

Ann Intern Med. 1984;100(3):447-449. doi:10.7326/0003-4819-100-3-447
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Methods for blood purification are used in acute renal failure for four main goals: to remove toxic substances presumably responsible for the uremic syndrome; to remove potassium for treatment or prevention of hyperkalemia; to administer bicarbonate to control metabolic acidosis; and to remove excessive body water and sodium. Four major methods of blood purification have been available: intermittent peritoneal dialysis, continuous ambulatory peritoneal dialysis, hemodialysis, and intermittent hemofiltration. In this issue, Kaplan and associates (1) describe 6 months' experience with yet another method developed recently (2-4): continuous arteriovenous hemofiltration. These methods, including this new addition, have various advantages and disadvantages


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