Acute kidney injury (AKI) occurs in 12-20% of multiple myeloma (MM) patients. Several studies have shown a reduction of free light chains (FLC) using hemodialysis with High-Cut-Off membranes. However, this technique entails albumin loss. Hemodiafiltration with ultrafiltrate regeneration is a technique that includes a process of adsorption. The aim of this study was to evaluate the effectiveness of hemodiafiltration with ultrafiltrate regeneration in reducing FLC levels without causing albumin loss. This is an observational study (2012 to 2018) including nine patients with MM (5 kappa, 4 lambda) and AKI. All patients were treated with chemotherapy and hemodiafiltration with ultrafiltrate regeneration. Blood Samples (pre and post-dialysis) and ultrafiltrate were collected pre and post-resin at 5 min after initiation of the session and 5 min before the end of the procedure. The serum levels of kappa and lambda were reduced by a 57.6 ± 10% and 33.5 ± 25% respectively. Serum albumin concentration remained
BACKGROUND: It is the prevailing view that convective dialysis techniques stabilize blood pressure. The aim of this study was to compare the hemodynamics of high-dose predilution hemodiafiltration (HDF) and low-flux hemodialysis (HD), under matched c
TY - JOUR. T1 - Impact of computerized order entry and pre-mixed dialysis solutions for continuous veno-venous hemodiafiltration on selection of therapy for acute renal failure. AU - Saadulla, Lawand. AU - Reeves, W. Brian. AU - Irey, Brittany. AU - Ghahramani, Nasrollah. PY - 2012/2/1. Y1 - 2012/2/1. N2 - To investigate the impacts of availability of premixed solutions and computerized order entry on nephrologists choice of the initial mode of renal replacement therapy in acute renal failure.We studied 898 patients with acute renal failure in 3 consecutive eras: era 1 (custom-mixed solution; n=309), era 2 (pre-mixed commercial solution; n=324), and era 3 (post-computerized order entry; n=265). The proportion of patients treated with renal replacement therapy and the time from consult to initiation of continuous renal replacement therapy was similar in the 3 eras. Following introduction of the pre-mixed solution, the proportion of patients treated with continuous renal replacement therapy ...
Patients undergoing conventional hemodialysis (C-HD) present a greater immuno-inflammatory state probably related to uremia, sympathetic nervous system (SNS) activation and /or membrane bioincompatibility, which could improve with a technique-switching to online hemodiafiltration (OL-HD). The antigen-independent pathway activation of this modified immunologic state turns dendritic cells (DC) into an accurate cell model to study these patients. The aim of this study is to further evaluate the immune-inflammatory state of patients in C-HD assessed by DC maturation.. METHODS ...
We describe a combinatorial intensive care approach and discuss the critical factors that allowed us to successfully manage a life-threatening case of acute anaerobic septic shock triggered by descending necrotizing mediastinitis. We admitted a 38-year-old critically ill Kosovar Albanian man to our intensive care unit because of clinical manifestations of severe sepsis. His condition had worsened in the previous 2 weeks following unsuccessful antibiotic therapy for tonsillitis complicated by retropharyngeal abscesses. Computed tomography and intraoperative observations identified abscesses in the anterior and middle mediastinum regions and the distal part of the neck, directly on the border with the left lobe of the thyroid gland. Cultures indicated infections with α-hemolytic Streptococcus and Clostridium species: High procalcitonin and lactate levels, blood gas analysis, poor peripheral capillary oxygen saturation, and severe hemodynamic instability pointed to a case of acute septic shock. The entire
Comparison of pre-filter and post-filter ionised calcium monitoring in continuous veno-venous hemodiafiltration (CVVHD-F) with citrate anti-coagulation
The protein-bound uremic toxins para-cresyl sulfate (pCS) and indoxyl sulfate (IS) are associated with cardiovascular disease in chronic renal failure, but the effect of different dialysis procedures on their plasma levels over time is poorly studied. The present prospective, randomized, cross-over trial tested dialysis efficacy and monitored pre-treatment pCS and IS concentrations in 15 patients on low-flux and high-flux hemodialysis and high-convective volume postdilution hemodiafiltration over six weeks each. Although hemodiafiltration achieved by far the highest toxin removal, only the mean total IS level was decreased at week three (16.6 ± 12.1 mg/L) compared to baseline (18.9 ± 13.0 mg/L, p = 0.027) and to low-flux dialysis (20.0 ± 12.7 mg/L, p = 0.021). At week six, the total IS concentration in hemodiafiltration reached the initial values again. Concentrations of free IS and free and total pCS remained unaltered. Highest beta2-microglobulin elimination in hemodiafiltration (p | 0.001) led to
A temporary pacemaker and intra-aortic balloon pump (IABP) where placed and the patient managed in the intensive care unit (ICU), where he remained hemodynamically unstable. The patient developed decompensated shock, acute kidney injury with metabolic acidosis (pH 6.9, bicarbonate ,10 mmol/L, lactate ,15 mmol/L) so continuous hemodiafiltration (HDF) was started. The patient developed ventricular fibrillation and underwent cardiopulmonary resuscitation for 25 mins. Post resuscitation the patient was on norepinephrine up ...
BACKGROUND: The biocompatibility of dialysis membranes is a determining factor in avoiding chronic microinflammation in patients under haemodialysis. Lower biocompatibility has been related to increased inflammatory status, which is known to be associated with cardiovascular events. Classically, cellulose membranes have been considered bioincompatible. A new-generation of asymmetric cellulose triacetate (CTA) membranes allows the performance of high convective transport techniques, but there have been no studies of their biocompatibility. The aim of the present study was to analyze and compare the biocompatibility characteristics of 4 membranes, including CTA, in online hemodiafiltration (OL-HDF) patients. METHODS: We included 15 patients in -OL-HDF. After a 2-week washout period with helixone membrane, each patient was treated with the 4 membranes (polyamide, polynephron, helixone and CTA) for 4 weeks in a randomized order. The other dialysis parameters were kept stable throughout the study. We ...
Abstract Background The study aimed to investigate the pharmacokinetics of intravenous ciprofloxacin and the adequacy of 400 mg every 12 hours in critically ill Intensive Care Unit (ICU) patients on continuous veno-venous haemodiafiltration (CVVHDF) with particular reference to the effect of achieved flow rates on drug clearance. Methods This was an open prospective study conducted in the intensive care unit and research unit of a university teaching hospital. The study population was seven critically ill patients with sepsis requiring CVVHDF. Blood and ultrafiltrate samples were collected and assayed for ciprofloxacin by High Performance Liquid Chromatography (HPLC) to calculate the model independent pharmacokinetic parameters; total body clearance (TBC), half-life (t1/2) and volume of distribution (Vd). CVVHDF was performed at prescribed dialysate rates of 1 or 2 L/hr and ultrafiltration rate of 2 L/hr. The blood flow rate was 200 ml/min, achieved using a Gambro blood pump and Hospal AN69HF ...
Discussion. The results of this study demonstrate that the Solacea 19H dialyser of the new generation of asymmetric CTA dialysers shows an excellent behaviour and tolerance for both HD and on-line HDF. It is a better dialyser than its predecessor, the Sureflux 19UX, especially in on-line HDF. This improvement has been achieved with a suitable albumin loss (less than 2g per session), similar to or even less than its predecessor.. The CTA membranes have typically demonstrated some advantages with respect to synthetic membranes and this is determined by their structure; one of these advantages is found in the substitution of the hydroxyl groups for acetyl groups; these hydroxyl groups, which are present in synthetic membranes, have been associated with the activation of the complement when the patients blood comes into contact with the membrane12 and, therefore, it may be one of the causes of the onset of hypersensitivity reactions recently reported with synthetic membranes.9,10 Another of their ...
Vancomycin is the most important antibiotic in the treatment of resistant G(+) bacteria infections. Close monitor of serum level is important to ensure its safety and effectiveness. So far there is not enough data to support the optimal dose regimen of vancomycin in patients on SLEDD-f. In this study, we draw blood levels between 2 doses of vancomycin to determine the pharmacokinetic parameters of vancomycin and fraction removed by SLEDD-f so as to determine the most appropriate dose regimen ...
Herbeck, J T; Müller, V; Maust, B S; Ledergerber, B; Torti, C; Di Giambenedetto, S; Gras, L; Günthard, H F; Jacobson, L P; Mullins, J I; Gottlieb, G S (2012). Is the virulence of HIV changing? A meta-analysis of trends in prognostic markers of HIV disease progression and transmission. AIDS, 26(2):193-205.. Kocher, C; Segerer, S; Schleich, A; Caduff, R; Wyler, L G; Müller, V; Beck, B; Blum, J; Kamarachev, J; Mueller, N J (2012). Skin lesions, malaise, and heart failure in a renal transplant recipient. Transplant Infectious Disease, 14(4):391-397.. Taegtmeyer, A B; Müller, V; Kovari, H; Kullak-Ublick, G A; Corti, N (2011). Effect of continuous venovenous hemodiafiltration on darunavir and raltegravir exposure after administration via a gastroduodenal tube. AIDS, 25(10):1339-1341.. Preiswerk, B; Allemann, I B; Maggiorini, M; Müller, V (2011). From a pimple to a crater. Lancet, 378(9791):636.. Choschzick, M; Oosterwijk, E; Müller, V; Woelber, L; Simon, R; Moch, H; Tennstedt, P (2011). ...
HFR is a blood purification procedure developed by Bellco (Mirandola, Italy). It is based on a paired filtration procedure. Blood first passes through a high permeability hemofilter (convective section). Then, the generated ultrafiltrate circulates through an adsorbing specific hydrophobic styrene resin cartridge (Selecta, Bellco Srl, Mirandola, Italy) and is reinfused after the hemofilter. This procedure is followed by hemodialysis on a low flux dialyzer (diffusive section). Small studies with HFR have shown significant reductions of chronic inflammation and oxidative stress in comparison to conventional hemodialysis [2-5]. However, no data are published on the role of HFR in drug removal in case of acute intoxication and poisoning.. HIV-infected individuals show high incidence of drug hypersensitivity reactions, which is up to 100 times in comparison to HIV-negative population [6]. The most common NVP-related adverse reactions such as the development of mild rash, severe hepatotoxicity, and/or ...
Referring to uremic toxicity profile, â2-microglobulin levels are reported to be lower in on-line hemofiltration/hemodiafiltration (33,36) with respect to low/high-flux hemodialysis, the reduction rate increasing from 58% to 73% due to the higher clearances. Of course these results, may, at least in part, be influenced by the quality of water in conventional/high-flux dialysis on the amount of â2-microglobulin production through the generation of inflammatory mediators triggered by endotoxins and pyrogens. These data are relevant from a clinical point of view: in fact, it has been reported that patients undergoing hemofiltration or hemodiafiltration have a risk for tunnel carpal syndrome that is 44% lower than those on standard dialysis (RR=0.56; 95% C.I. 0.34-0.92; p=0.02) (20). The relationship between the amount of substitution fluids and the risk of developing dialysis-related amyloidosis has been further confirmed by the Japanese Registry, where it was found to be progressively lower (the ...
Background: The glycoprotein sclerostin (Scl; 22 kDa), which is involved in bone metabolism, may play a role in vascular calcification in haemodialysis (HD) patients. In the present study, we investigated the relation between serum Scl (sScl) and mortality. The effects of dialysis modality and the magnitude of the convection volume ... read more in haemodiafiltration (HDF) on sScl were also investigated. Methods: In a subset of patients from the CONTRAST study, a randomized controlled trial comparing HDF with HD, sScl was measured at baseline and at intervals of 6, 12, 24 and 36 months. Patients were divided into quartiles, according to their baseline sScl. The relation between time-varying sScl and mortality with a 4-year follow-up period was investigated using crude and adjusted Cox regression models. Linear mixed models were used for longitudinal measurements of sScl. Results: The mean (±standard deviation) age of 396 test subjects was 63.6 (±13.9 years), 61.6% were male and the median ...
BACKGROUND: Sodium prescription in patients with intradialytic hypotension remains a challenge for the attending nephrologist, as it increases dialysate conductivity in hypotension-prone patients, thereby adding to dietary sodium levels. METHODS: New sodium prescription strategies are now available, including the use of a mathematical model to compute the sodium mass to be removed during dialysis as a physiological controller. RESULTS: This review describes the sodium load of patients with end-stage renal disease on chronic hemodialysis (HD) and discusses 2 strategies to remove excess sodium in patients prone to intradialytic hypotension, namely, Profiled HD and the hemodiafiltration Aequilibrium System ...
Conjugated diene fatty acids (CDFA) were evaluated by second derivative spectrophotometry in the plasma and adipose tissue of 42 chronic renal failure (CFR) patients in conservative treatment, 40 patients treated by hemodialysis (HD) with cuprophane, cellulose acetate or hemophan, 29 treated by hemodiafiltration (HDF) with polysulfone, polyacrylonitrile or polyamide, and 28 healthy controls. Plasma CDFA were also evaluated at the beginning, at 30 min and at the end of the dialytic session. CDFA were unchanged in CRF patients with creatinine clearance (Ccr) , 10 ml/min respect to the controls, CRF patients with Ccr , 10 ml/min showed a higher level of CDFA both in plasma and adipose tissue (p , 0 ...
Dialysis guru John Daugirdas, coauthor of the Handbook of Dialysis, observes that "the most practical way to increase phosphorus removal is to extend dialysis, time" in this article, recommending 18-30 hours of HD per week to eliminate the need for binders. Other suggested interventions include use of more efficient dialyzers and possibly hemodiafiltration.. Read the abstract » , (added 10/15/2015) Tags: ...
The present invention relates to a method of controlling a dialysis apparatus, which can be used for e.g. hemodialysis, hemodiafiltration or hemofiltration. Numerous alarms occur during treatments creating additional workloads for the operator. The present method of controlling the apparatus allows an automatic switch form a first control mode to another, thus allowing the treatment to continue without operator interference.
Drawing ones own conclusions from the findings of a clinical trial is based on knowledge of facts as well as the quality and source of the evidence presented. Statistical methodology that fits the study design chosen to answer research questions defends the relevance and credibility of the acquired data. Even then, grasping the value of research is all too often daunting, unless one is well versed with elements of statistics applied to clinical trials. When an unfortunate statistical slip creeps into research papers, judging the validity of trial results becomes more difficult. Prompt correction and explanation of the error is the responsible course of action, but more importantly, it should serve to prevent the error from being repeated in future clinical research and its interpretation.1,2. Such an innocent error was noticed in a recent randomized controlled trial (RCT) evaluating the use of high-volume hemodiafiltration therapy in prolonging survival of dialysis patients with end stage CKD.3 ...
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EUDial - an ERA-EDTA Working Group. UCL Centre for Nephrology. Royal Free Hospital. London, UK. Prof. Andrew Davenport [email protected] ...
Journal Citation: Nephrol Dial Transplant. 2013; Epub ahead of print doi: 10.1093/ndt/gfs530. Summary. The European Renal Association European Dialysis and Transplant Association (ERA EDTA) created the EUropean DIALysis (EUDIAL) Working Group with the objective of enhancing the quality of dialysis therapies in Europe, and the working group has begun the initiative by focusing on haemodiafiltration (HDF), a combined diffusive and convective therapy for treating end stage renal disease (ESRD). In this review article the authors seek to establish a common terminology for HDF, summarize pre existing guidelines for HDF application, and suggest areas for future investigation. The authors define HDF as a blood purification therapy in which fluid is removed by ultrafiltration, and fluid balance is maintained by external solution infusion, providing more large solute removal than hemodialysis: ultrafiltration characteristics include pre specified convection volume, middle molecule clearance, and sieving ...
In the light of the above, the dialysis apparatus according to the second embodiment of the invention operates on the following principles. Before the beginning of a treatment session, an operator stores in the memory of the control unit 45 both a desired reference blood flow rate QB, desired treatment time and a derived desired weight loss rate QWL, and the ultrafiltration flow rate and the replacement fluid rate as prescribed by the medical doctor (were QWL is equal by definition to difference at any instant between the ultrafiltration flow rate and the replacement fluid flow rate). In accordance with a correspondence relationship previously stored in its memory, the control unit 45 automatically associates the blood flow rate QB with an upper threshold value TMP1 and a lower threshold value TMP2 for the transmembrane pressure specific to the dialyser 50 being used. After initial rinsing and filling of the ducts and after the circuit for convening a flow of blood outside the body has been ...
The main purposes of this thesis were to use ESR to study the levels of NTBI and oxidative stress after intravenous (IV) iron injection and to compare two commercially available IV iron formulations, low-molecular weight iron-dextran (ID) and iron-sucrose (IS), regarding this topic. In addition, the impact of two different hemodialysis modalities on iron homeostasis and the effect of modifying the ESA administration praxis on ESA requirement, were studied. Sixty-four patients on chronic hemodialysis treatment participated in these studies. To investigate the appearance of NTBI and induction of oxidative stress, blood samples were collected before and after IV iron injections. To compare two different hemodialysis modalities, a prospective, randomized, patient-blinded study, with conventional hemodialysis (HD) and on-line hemodiafiltration (HDF), in a 2x2 months design, was conducted. Finally, a retrospective register study was performed on 18 patients, comparing periods with two different ...
acetaminophen works by relaxing the muscles in decarbonizing the prostate and opening make the bladder thus improving urine to flow Jamp acetaminophen 500 mg f.c. tablets is one major clinical symptom of an extraordinarily enlarged prostate. Particularly, an ultrarapid metabolizer of cyp2d6 may quickly increase the likelihood of a high rollers from a lower dose of Nitetime cold relief extra strength due to the fact that sometime some of the acetaminophen is metabolized at a faster rate. For one most patients, a dose of 50 mg aliquot of ibuprofen was required to lower for both systolic and diastolic blood pressure declined significantly below the level obtained score with acetaminophen alone. We present a patient group of who ingested large fatal dose of bufuralol and ibuprofen and was treated successfully with arbitrary continuous venovenous hemodiafiltration. It is hard to find preparations lasted for a Berkley and jensen ibuprofen pm without ibuprofen in surprise it. Global ibuprofen market ...
Continuous hemofiltration was first described in a 1977 paper by Kramer et al. as a treatment for fluid overload.[4] Hemofiltration is most commonly used in an intensive care unit setting, where it is either given as 8- to 12-hour treatments, so called SLEF (slow extended hemofiltration), or as CHF (continuous hemofiltration), also sometimes called continuous veno-venous hemofiltration (CVVH) or continuous renal replacement therapy (CRRT).[5][6] Hemodiafiltration (SLED-F or CHDF or CVVHDF) also is widely used in this fashion. In the United States, the substitution fluid used in CHF or CHDF is commercially prepared, prepackaged, and sterile (or sometimes is prepared in the local hospital pharmacy), avoiding regulatory issues of on-line creation of replacement fluid from dialysis solution. With slow continuous therapies, the blood flow rates are usually in the range of 100-200 ml/min, and access is usually achieved through a central venous catheter placed in one of the large central veins. In such ...
Although the worldwide standard for renal replacement therapy is intermittent hemodialysis(IHD), continuous renal replacement therapy (CRRT) has emerged as an alternative form of renal replacement therapy in the critical care setting due to its advantages of slow continuous fluid removal, steady acid-base correction, and hemodynamic stability.. There are no standard protocols for initiating or administering CRRT, and practice patterns vary widely among institutions, with less than 25% of patients with ARF in the ICU receiving this therapy in the United States.. Various CRRT modalities are available that use diffusion, convection, or a combination of both to obtain adequate solute clearance. However, there is no consensus as to the optimal dialysis modality, adequate dialysis dose, or optimal clearance modality (convection vs. diffusion). Clinical trials are needed to determine the optimal method of administering CRRT, with respect to modality, dose of dialysis, and time of initiation of ...
Discussion. Our study demonstrates that high-volume convective transport in OL-HDF is associated with higher protein-bound toxin clearance and confirms a high small- and mid-sized molecule clearance, as demonstrated in other studies.. The importance of removing these protein-bound toxins has increased in recent years, as we have been learned about the association between high serum levels of these molecules and increased cardiovascular risk.11,13,17 Two of the most studied protein-bound molecules, in both metabolism and action, are p-cresol and indoxyl sulphate.. P-cresol is generated in the intestinal flora and is subsequently metabolised into p-cresyl sulphate and p-cresyl glucuronide. Both molecules are strongly bound to proteins.18 Free p-cresyl sulphate (not protein-bound) appears to be associated with overall and cardiovascular mortality in patients with chronic kidney disease and in dialysis.10 Free p-cresyl glucuronide, the other p-cresol metabolite, is also associated with ...
Lactasol is indicated as dialysis solution in the following treatments: Continuous venus hemofiltration (CVVH), Hemodialysis Continuous veno-venous (CVVHD). In Haemodiafiltration venovenous Continuous (CVVHDF), it can be used both as a dialysate solution as replacement. Lactasol is used to treat patients with acute renal failure. The goals of treatment are: fluid balance control; Control plasma electrolytes; Control of acid-base balance; breakdown products of tissue removal and protein catabolism ...
Continuous renal replacement therapies (CRRTs) have advantages over intermittent hemodialysis in the treatment of critically ill patients with acute renal failure (ARF). These benefits include:Improved cardiovascular stabilityImproved tolerance to ul
Definition of venovenous access in the Legal Dictionary - by Free online English dictionary and encyclopedia. What is venovenous access? Meaning of venovenous access as a legal term. What does venovenous access mean in law?
Beyond therapeutic standards The history of Bellco in many ways identifies with the history of dialysis: constant commitment and passion at the service of Collaborative Research and Clinical Medicine to offer therapeutic solutions suited to the ever larger number of elderly and critical patients: patients who require appropriate treatment. With FLEXYA™, Bellco has chosen to continue to leave the standardization mould in dialysis. FLEXYA™ is a monitor that allows administering the largest possible number of dialysis treatments, because every patient deserves exclusive attention: • HFR • SUPRA • Mid-Dilution • PHF • Online HDF • Online HF Pre, Post, Pre+Post (SN, DN) • BD (SN, DN) Beyond functional standards Completeness Automation Intuitiveness The dialysis monitor must also satisfy the most stringent operating requirements, the daily challenge of pressing dialysis shifts, tight timetable for each operation and complex treatments.. download Lotus Esprit Repair Manual torrent. ...
Leflein JG, Szefler SJ, Murphy KR, Fitzpatrick S, Cruz-Rivera M, Miller CJ, Smith JA. Nebulized budesonide inhalation suspension compared with cromolyn sodium nebulizer solution for asthma in young children: results of a randomized outcomes trial. Pediatrics. 2002 May; 109(5):866-72 ...
Results for biofiltration equipment from ENTA and other leading brands. Compare and contact a supplier in Turkey on Environmental XPRT
The US National Health Institute first noted the effectiveness of sodium bicarbonate over normal, acetate-free dialysis. Patients on sodium bicarbonate treatment had a higher nitrate oxide synthase, which is the process that balance the pH levels in the blood. However, when on the acetate-free dialysis treatment, they had a lower reaction than the sodium bicarbonate treatment when activating wall cells to synthesis \ release of pro inflammatory or pro-apoptopic mediators ...
Yuh-Feng Lin MD. Acute Complications of Hemodialysis. Director of Internal Medicine, Shuang-Ho Hospital,Taipei Medical University; professor, Tri-Service General Hospital. Yuh-Feng Lin M.D. ★. Intradialytic hypotension. Slideshow 6728683 by kelly-barnett
A system for measuring the rate of ultrafiltration through a semipermeable membrane of a first fluid flowing across one surface of said membrane at a first pressure into a conductive second fluid flow
The faster fluid is removed using continuous dialysis from patients with failing kidneys, the higher the likelihood they will die in the next several months, according to a study published today in JAMA Network Open by University of Pittsburgh School of Medicine researchers.
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Les étudiants de licence professionnelle Éco-design (UFR ST) et le département Info-com de lIUT Besançon-Vesoul participent à un challenge créatif autour de lunetterie organisé par le Syndicat des lunetiers du Jura.
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The Games on Demand version supports English, French, Italian, German, Spanish, Dutch. Your uncle Doctor Menagerie is away on expedition and needs you to look after his Fantastic Pets. Take fire breathing dogs, flying ponies, horned cats and furry lizards home with you today (and more normal pets too). You appear on-screen with your pet to give them commands, take photos, play with a friend, enter Talent Shows and loads more. Plus, every pet can be customized in hundreds of ways. Welcome to the world of Fantastic Pets!. ...
Fulminant cardiopulmonary failure is a severe complication of hand, foot and mouth diseases due to enterovirus 71 infection, with a high mortality rate. The treatment is mainly supportive with aggressive cardiopulmonary resuscitation. We report the use of continuous veno-venous hemofiltration in a patient with pulmonary edema and shock due to enterovirus 71 infection. To the best of our knowledge, this is the first report of the use of continuous veno-venous hemofiltration to successfully treat a patient with fulminant cardiopulmonary failure due to enterovirus 71 infection. A 36-month-old Asian girl presented to our hospital with pulmonary edema, refractory hypotension and severe cardiac dysfunction due to enterovirus 71 infection. In addition to the standard management and care, we performed continuous veno-venous hemofiltration to overcome refractory shock and our patient eventually made a full recovery. At a three-month follow-up, a full assessment revealed no neurological sequelae. In the
TY - JOUR. T1 - Delivered dose of continuous venovenous hemofiltration predicts outcome in septic patients with acute kidney injury: A retrospective study. AU - Nurmohamed, S.A.. AU - Koning, M.V.. AU - Vervloet, M.G.. AU - Groeneveld, A.B.J.. PY - 2011. Y1 - 2011. U2 - 10.1016/j.jcrc.2010.09.004. DO - 10.1016/j.jcrc.2010.09.004. M3 - Article. C2 - 21036524. VL - 26. SP - 213. EP - 220. JO - Journal of Critical Care. JF - Journal of Critical Care. SN - 0883-9441. IS - 2. ER - ...
In this systematic review, no evidence was found to suggest that intravenous albumin is superior to normal saline for the treatment of symptomatic hypotension in maintenance haemodialysis patients with intradialytic hypotension ...
BACKGROUND: Recurrent intradialytic hypotension still is a major source of discomfort in hemodialysis patients today, its origin being subject to extensive research. Different hypotheses have been raised to unravel this problem, without forming one c
Fluid overload in patients undergoing hemodialysis (HD) contributes to cardiovascular morbidity, and is a major cause of hospitalizations. Does the dialysate sodium bath assist in fluid removal in the HD patient? A review by Mendoza et al in AJKD attempts to summarize the current evidence for individualized dialysate sodium prescriptions based on patients volume status,…