ANDRE A. KAPLAN, M.D.; ROBERT E. LONGNECKER, M.D.; VAUGHN W. FOLKERT, M.D.
Continuous arteriovenous hemofiltration using small hollow-fiber hemofilters, without pumps, was used as an alternative to conventional methods of acute dialytic therapy. During a 6-month period, 15 patients had 17 treatments. Mean treatment duration was 98.5 ± 101.1 (SD) hours (range, 4 to 300 hours), for a total of 1673 hours. Mean output per treatment was 9.5 ± 4.4 mL/min, which was found to be adequate to control uremia despite a considerable protein intake. Six patients had a significant hemorrhage; however, all 6 had active bleeding and existing coagulopathies before beginning treatment. Overall, continuous arteriovenous hemofiltration was found to be a convenient and safe method for providing continuous fluid, electrolyte, and acid-base balance in patients with inadequate renal function. The treatment was particularly useful in patients with vascular instability or severe fluid overload.
KAPLAN AA, LONGNECKER RE, FOLKERT VW. Continuous Arteriovenous Hemofiltration: A Report of Six Months' Experience. Ann Intern Med. 1984;100:358–367. doi: 10.7326/0003-4819-100-3-358
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Published: Ann Intern Med. 1984;100(3):358-367.
Nephrology, Renal Replacement Therapy.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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