Skip to main content

Continuous Replacement Modalities in Acute Renal Dysfunction

  • Chapter
Acute Continuous Renal Replacement Therapy

Part of the book series: Developments in Nephrology ((DINE,volume 13))

Abstract

The occurrence of acute renal failure varies among hospital settings, generally being more frequent in surgical/trauma units than medical areas. National figures are lacking and variable incidences can be obtained by merely changing the definition of acute renal failure. For example, defining acute renal failure as an acute rise in the serum creatinine level to ≤ 3 mg/dL, a 5 to 20% incidence can be found in all open heart surgical procedures (1). However, defining the cutoff serum creatinine level > 5 mg/dL, a 2 to 5% incidence can be seen (2). If one considers only those patients who need artificial support then 1.2% incidence has been reported (3) following open heart surgery.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Abel RM, Buckley MJ, Austen WG, et al: Acute postoperative renal failure in cardiac surgical patients. J Surg Research 20:341, 1975.

    Article  Google Scholar 

  2. Anderson RJ, Schrier RW: Clinical spectrum of oliguric and non-oliguric acute renal failure. In: Acute Renal Failure, Brenner BM, Stein J (eds). Churchill Livingston, New York, pp 1–16, 1980.

    Google Scholar 

  3. Ghattas MA, Sethna DH, Rezkana H, Paganini EP, et al: Patterns of acute renal failure requiring dialysis after open heart surgery (Abstract). American Society of Anesthesiology, 1985.

    Google Scholar 

  4. Khanna R, Popowniak KL, Magnusson M, Nakamoto S: Control of ascites in patients with chronic hemodialysis by modified ultrafiltration using a Dow Hollow Fiber Capillary Kidney (Abstract). Trans Am Soc Artif Intern Organs 2:31, 1973.

    Google Scholar 

  5. Bergstrom J, Asaba H, Furst P, Oules R: Dialysis ultra-filtration and blood pressure. Proc Eur Dial Transplant Assoc 13:293, 1976.

    Google Scholar 

  6. Hakim RM, Lazarus RM: Hemodialysis in acute renal failure. In: Acute Renal Failure. Brenner B, Lazarus JM (eds), WB Saunders, Philadelphia, pp 643–688, 1983.

    Google Scholar 

  7. Kramer P, Wigger W, Rieger J, et al: Arteriovenous hemofiltration: A new and simple method for treatment of overhydrated patients resistant to diuretics. Klin Waschr 55:1121, 1977.

    Article  CAS  Google Scholar 

  8. Paganini EP, Nakamoto S: Continuous slow ultrafiltra-tion in oliguric acute renal failure. Trans Am Soc Artif Intern Organs 26:201, 1980.

    PubMed  CAS  Google Scholar 

  9. Paganini EP, O’Hara P, Nakamoto S: Slow continuous Ultrafiltration in hemodialysis resistant oliguric acute renal failure patients. Trans Am Soc Artif Intern Organs 30:173, 1984.

    PubMed  CAS  Google Scholar 

  10. DelGreco F, Shere J, Simon NM: Hemodynamic effects of hemodialysis in chronic renal failure. Trans Am Soc Artif Intern Organs 10:353, 1964.

    CAS  Google Scholar 

  11. Goss JE, Alfrey AC, Vogel JHK, Holmes JH: Hemodynamic changes during hemodialysis. Trans Am Soc Artif Intern Organs 13:68, 1967.

    Google Scholar 

  12. Kersh ES, Kronfield SJ, Unger A, et al: Autonomic insufficiency in uremia as a cause of hemodialysis-induced hypotension. N Engl J Med 291:650, 1974.

    Article  Google Scholar 

  13. Zucchelli P, Catizone L, Esposti ED, et al: Influence of Ultrafiltration on plasma renin activity and adrenergic system. Nephron 21:317, 1978.

    Article  PubMed  CAS  Google Scholar 

  14. Kim KE, Neff M, Cohen B, et al: Blood volume changes and hypotension during hemodialysis. Trans Am Soc Artif Intern Organs 16:508, 1970.

    PubMed  CAS  Google Scholar 

  15. Silverstein ME, Ford EA, Lysaght MJ, Henderson LW: Treatment of severe fluid overload by ultrafiltration. N Engl J Med 291:747, 1974.

    Article  PubMed  CAS  Google Scholar 

  16. Chen WT, Chaignon M, Omvik P, et al: Hemodynamic studies in chronic hemodialysis patients with hemofiltration/ultrafiltration. Trans Am Soc Artif Intern Organs 24:632, 1978.

    PubMed  CAS  Google Scholar 

  17. Paganini EP, Fouad F, Tarazi RC, et al: Hemodynamics of isolated ultrafiltration in chronic hemodialysis patients. Trans Am Soc Artif Intern Organs 25:422, 1979.

    PubMed  CAS  Google Scholar 

  18. Maclntyre WM, Pritchard WH, Eckstein RW, Fridell HL: The determination of cardiac output by a continuous recording system utilizing iodinated l131 human serum albumin in animal studies. Nucl Med 7:1, 1960.

    Google Scholar 

  19. Razzak MA, Botti RE, Maclntyre WJ: A rapid radioisotope dilution technique for the accurate determination of the cardiac output. Nucl Med 7:1, 1960.

    Google Scholar 

  20. Guyton AC, Lindsey AW, Kaufmann BN, Abernathy JB: Effects of blood transfusion and hemorrhage on cardiac output and the venous return curves. Am J Physiol 194:263, 1958.

    PubMed  CAS  Google Scholar 

  21. Tarazi RC, Ibrahim MM, Dustan HP, Ferrario CM: Cardiac factors in hypertension. Circ Res (Suppl)1:34–35, 1974.

    Google Scholar 

  22. Brod J: Hypertension and renal parenchymal disease: Mechanism and management. Cardiovasc Clin 9(1):137, 1978.

    PubMed  CAS  Google Scholar 

  23. Magnusson M, Sivak E, Meden G, et al: The effect of Furosemide versus ultrafiltration on extravascular lung water in permeability pulmonary edema in dogs (Abstract). IXth Intern Cong of Nephr, p 175A, 1984.

    Google Scholar 

  24. Magilligan DJ, Oyama C: Ultrafiltration during cardiopulmonary bypass: laboratory evaluation and initial clinical experience. Ann Thorac Surg 37:33, 1984.

    Article  PubMed  Google Scholar 

  25. Lamar J, Briggs WA, McDonald FD: Effective fluid removal with the Amicon diafilter. Proc Dial Trans Forum 127, 1978.

    Google Scholar 

  26. Neff MD, Sadjadi S, Slifkin R: A wearable artificial glomerulus. Trans Am Soc Artif Intern Organs 25:71, 1979.

    PubMed  CAS  Google Scholar 

  27. Shaldon S, Beau MC, Deschodt, et al: Continuous ambulatory hemofiltration. Trans Am Soc Artif Intern Organs 26:210, 1980.

    PubMed  CAS  Google Scholar 

  28. Olbricht C, Schurek HJ, Tytul S, et al: Efficiency of CAVH in acute renal failure. Influence of blood pressure, blood flow, vascular access and filter type (Abstract). Blood Purif 2:14, 1984.

    Article  Google Scholar 

  29. Swann s, Kennedy D, Paganini EP: Technical aspects of slow continuous ultrafiltration (SCUF) and continuous arterio-venous hemofiltration (CAVH). In preparation.

    Google Scholar 

  30. Smith D, Paganini EP, Suhoza K, et al: Non-heparin continuous renal replacement therapy is possible. Artif Organs1986 (In print).

    Google Scholar 

  31. Desio FJ, Paganini EP: Evaluation of slow continuous Ultrafiltration in oliguric patients on intraaortic balloon pumps (Abstract). Blood Purif 2:5, 1984.

    Google Scholar 

  32. Mineshima M, Yamagata K, Era K, et al: Kinetic comparison of hemofilters for continuous arteriovenous hemofil-tration (CAVH). Trans Ara Soc Artif Intern Organs, 1985 (In print).

    Google Scholar 

  33. Leypoldt JK, Frigon RP, Henderson LW: Impact of ultra-filtrate velocity on solute clearance in CAVH (Abstract). Blood Purif 2:217, 1984.

    Google Scholar 

  34. Trudell LA, Aebischer P, Panol G, et al: An implantable continuous ultrafiltration device. Artif Organs, 1986 (In print).

    Google Scholar 

  35. Kramer P, Schrader J, Bohnsack W, et al: Continuous arteriovenous hemofiltration: A new kidney replacement therapy. Proc Eur Dial Transplant Assoc 18:743, 1981.

    PubMed  CAS  Google Scholar 

  36. Kramer P, Bohler J, Kehr A: Intensive care potentials of continuous arteriovenous hemofiltration. Trans Am Soc Artif Intern Organs 78:28, 1982.

    Google Scholar 

  37. Lauer A, Saccaggi A, Ronco C, et al: Continuous arteriovenous hemofiltration in the critically ill patient. Ann Intern Med 99:455, 1983.

    PubMed  CAS  Google Scholar 

  38. Kaplan AP, Longnecker RE, Folkert VW: Suction-assisted continuous arterio-venous hemofiltration. Trans Am Soc Artif Intern Organs 29:408, 1983.

    PubMed  CAS  Google Scholar 

  39. Dodd NJ, O’Donovan RM, Bennett-Jones Div: Arteriovenous hemofiltration: A recent advance in the management of renal failure. Brit Med J 287:1008, 1983.

    Article  CAS  Google Scholar 

  40. Henderson LW, Besarab A, Michaels A, et al: Blood purification by ultrafiltration and fluid replacement (diafiltration). Trans Am Soc Artif Intern Organs 13:216, 1967.

    Google Scholar 

  41. Quellhorst E, Rieger J, Doht B, et al: Treatment of chronic uremia by an ultrafiltration artificial kidney-first clinical experience. Proc Eur Dial Transplant Assoc 13:134, 1976.

    Google Scholar 

  42. Kramer P, Matthaei C, Fuchs C, et al: Assessment of hormone loss through hemofiltration. Artif Organs 2:128, 1978.

    Article  PubMed  CAS  Google Scholar 

  43. Schaefer K, Herrath D, Gullberg H, et al: Chronic hemofiltration—a critical evaluation of a new method for the treatment of blood. Artif Organs 2:386, 1978.

    Article  PubMed  CAS  Google Scholar 

  44. Henderson LW, Colton CK, Ford CA: Kinetics of hemodia filtration, II. Clinical characterization of a new blood cleansing modality. J Lab Clin Med 85:372, 1975.

    PubMed  CAS  Google Scholar 

  45. Colton C, Henderson LW, Ford CA, et al: Kinetics of hemdiafiltration, I. In vitro transport characteristics of a hollow fiber blood ultrafilter. J Lab Clin Med 85:355, 1975.

    PubMed  CAS  Google Scholar 

  46. Kaplan A: The effect of predilution during continuous arterio-venous hemofiltration (Abstract). ASN 17th annual meeting p 66A, 1984.

    Google Scholar 

  47. Scribner BH, Canez JEZ, Buri R, Quinton W: The technique of continuous hemodialysis. Trans Am Soc Artif Intern Organs 6:38, 1960.

    Google Scholar 

  48. Geronemus R, Schneider N: Continuous arteriovenous hemodialysis: A new modality for treatment of acute renal failure. Trans Am Soc Artif Intern Organs 30:610, 1984.

    PubMed  CAS  Google Scholar 

  49. Ronco C, Brendolan A, Bragantini L, et al: Arterio-venous hemodiafiltration combined with continuous arteriovenous hemofiltration (Abstract). ASAIO abstracts 14:36, 1985.

    Google Scholar 

  50. Henderson LW, Beans E: Successful production of sterile pyrogen-free electrolyte solution by ultrafiltration. Kid Int 14:522, 1978.

    Article  CAS  Google Scholar 

  51. Shaldon S, Bean MC, Deschodt G, et al: Three years of experience with on-line preparation of sterile pyrogen-free infusate for hemofiltration. Contr Nephrol 32:161, 1982.

    CAS  Google Scholar 

  52. Luehmann D, Hirsch D, Ebben J, et al: Central on-site preparation of substitution fluid for hemofiltration. Trans Am Soc Artif Organs 30:195, 1984.

    CAS  Google Scholar 

  53. Cooper GL, Hopkins CC: Rapid diagnosis of intravascular catheter-associated infection by direct gram staining of catheter segments. N Engl J Med 312:1142, 1985.

    Article  PubMed  CAS  Google Scholar 

  54. Bosch: Acid/base.

    Google Scholar 

  55. Gudis S, Mangi S, Feinroth M, et al: Rapid correction of severe lactic acidosis with massive isotonic bicarbonate infusion and simultaneous ultrafiltration (Abstract). ASN—14th annual meeting, p 41, 1981.

    Google Scholar 

  56. Moriniere P, Dieual J, Renand H, Benelmonfok, et al: Comparison of low molecular weight heparin with unfrac-tionated heparin in hemofiltration: same antithrombotic activity with decreased hemorrhagic risk (Abstract). Blood Purif 2:56, 1984.

    Google Scholar 

  57. Kjellstrand C, Gornick C, David T: Recovery from acute renal failure. Clin Exp Dialysis Apher 5:143, 1981.

    CAS  Google Scholar 

  58. Hilberman M, Myers BD, Carrie BJ, et als Acute renal failure following cardiac surgery. J Thorac Cardiovasc Surg 77:880, 1979.

    PubMed  CAS  Google Scholar 

  59. Gailiunas P, Chawla R, Lazarus JM, et al: Acute renal failure following cardiac operations. J Thorac Cardiovasc Surg 79:241.

    Google Scholar 

  60. Bluemle LN Jr, Webster GD Jr, Elkinson JR: Acute tubular necrosis. Arch Intern Med 104:18, 1959.

    Google Scholar 

  61. London RE, Burton JR: Post-traumatic renal failure in military personnel in southeast Asia. Am J Med 53:137, 1972.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1986 Martinus Nijhoff Publishing

About this chapter

Cite this chapter

Paganini, E. (1986). Continuous Replacement Modalities in Acute Renal Dysfunction. In: Paganini, E.P. (eds) Acute Continuous Renal Replacement Therapy. Developments in Nephrology, vol 13. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-2311-2_2

Download citation

  • DOI: https://doi.org/10.1007/978-1-4613-2311-2_2

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4612-9422-1

  • Online ISBN: 978-1-4613-2311-2

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics