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.
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References
Abel RM, Buckley MJ, Austen WG, et al: Acute postoperative renal failure in cardiac surgical patients. J Surg Research 20:341, 1975.
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.
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.
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.
Bergstrom J, Asaba H, Furst P, Oules R: Dialysis ultra-filtration and blood pressure. Proc Eur Dial Transplant Assoc 13:293, 1976.
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.
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.
Paganini EP, Nakamoto S: Continuous slow ultrafiltra-tion in oliguric acute renal failure. Trans Am Soc Artif Intern Organs 26:201, 1980.
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.
DelGreco F, Shere J, Simon NM: Hemodynamic effects of hemodialysis in chronic renal failure. Trans Am Soc Artif Intern Organs 10:353, 1964.
Goss JE, Alfrey AC, Vogel JHK, Holmes JH: Hemodynamic changes during hemodialysis. Trans Am Soc Artif Intern Organs 13:68, 1967.
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.
Zucchelli P, Catizone L, Esposti ED, et al: Influence of Ultrafiltration on plasma renin activity and adrenergic system. Nephron 21:317, 1978.
Kim KE, Neff M, Cohen B, et al: Blood volume changes and hypotension during hemodialysis. Trans Am Soc Artif Intern Organs 16:508, 1970.
Silverstein ME, Ford EA, Lysaght MJ, Henderson LW: Treatment of severe fluid overload by ultrafiltration. N Engl J Med 291:747, 1974.
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.
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.
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.
Razzak MA, Botti RE, Maclntyre WJ: A rapid radioisotope dilution technique for the accurate determination of the cardiac output. Nucl Med 7:1, 1960.
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.
Tarazi RC, Ibrahim MM, Dustan HP, Ferrario CM: Cardiac factors in hypertension. Circ Res (Suppl)1:34–35, 1974.
Brod J: Hypertension and renal parenchymal disease: Mechanism and management. Cardiovasc Clin 9(1):137, 1978.
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.
Magilligan DJ, Oyama C: Ultrafiltration during cardiopulmonary bypass: laboratory evaluation and initial clinical experience. Ann Thorac Surg 37:33, 1984.
Lamar J, Briggs WA, McDonald FD: Effective fluid removal with the Amicon diafilter. Proc Dial Trans Forum 127, 1978.
Neff MD, Sadjadi S, Slifkin R: A wearable artificial glomerulus. Trans Am Soc Artif Intern Organs 25:71, 1979.
Shaldon S, Beau MC, Deschodt, et al: Continuous ambulatory hemofiltration. Trans Am Soc Artif Intern Organs 26:210, 1980.
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.
Swann s, Kennedy D, Paganini EP: Technical aspects of slow continuous ultrafiltration (SCUF) and continuous arterio-venous hemofiltration (CAVH). In preparation.
Smith D, Paganini EP, Suhoza K, et al: Non-heparin continuous renal replacement therapy is possible. Artif Organs1986 (In print).
Desio FJ, Paganini EP: Evaluation of slow continuous Ultrafiltration in oliguric patients on intraaortic balloon pumps (Abstract). Blood Purif 2:5, 1984.
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).
Leypoldt JK, Frigon RP, Henderson LW: Impact of ultra-filtrate velocity on solute clearance in CAVH (Abstract). Blood Purif 2:217, 1984.
Trudell LA, Aebischer P, Panol G, et al: An implantable continuous ultrafiltration device. Artif Organs, 1986 (In print).
Kramer P, Schrader J, Bohnsack W, et al: Continuous arteriovenous hemofiltration: A new kidney replacement therapy. Proc Eur Dial Transplant Assoc 18:743, 1981.
Kramer P, Bohler J, Kehr A: Intensive care potentials of continuous arteriovenous hemofiltration. Trans Am Soc Artif Intern Organs 78:28, 1982.
Lauer A, Saccaggi A, Ronco C, et al: Continuous arteriovenous hemofiltration in the critically ill patient. Ann Intern Med 99:455, 1983.
Kaplan AP, Longnecker RE, Folkert VW: Suction-assisted continuous arterio-venous hemofiltration. Trans Am Soc Artif Intern Organs 29:408, 1983.
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.
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.
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.
Kramer P, Matthaei C, Fuchs C, et al: Assessment of hormone loss through hemofiltration. Artif Organs 2:128, 1978.
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.
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.
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.
Kaplan A: The effect of predilution during continuous arterio-venous hemofiltration (Abstract). ASN 17th annual meeting p 66A, 1984.
Scribner BH, Canez JEZ, Buri R, Quinton W: The technique of continuous hemodialysis. Trans Am Soc Artif Intern Organs 6:38, 1960.
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.
Ronco C, Brendolan A, Bragantini L, et al: Arterio-venous hemodiafiltration combined with continuous arteriovenous hemofiltration (Abstract). ASAIO abstracts 14:36, 1985.
Henderson LW, Beans E: Successful production of sterile pyrogen-free electrolyte solution by ultrafiltration. Kid Int 14:522, 1978.
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.
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.
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.
Bosch: Acid/base.
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.
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.
Kjellstrand C, Gornick C, David T: Recovery from acute renal failure. Clin Exp Dialysis Apher 5:143, 1981.
Hilberman M, Myers BD, Carrie BJ, et als Acute renal failure following cardiac surgery. J Thorac Cardiovasc Surg 77:880, 1979.
Gailiunas P, Chawla R, Lazarus JM, et al: Acute renal failure following cardiac operations. J Thorac Cardiovasc Surg 79:241.
Bluemle LN Jr, Webster GD Jr, Elkinson JR: Acute tubular necrosis. Arch Intern Med 104:18, 1959.
London RE, Burton JR: Post-traumatic renal failure in military personnel in southeast Asia. Am J Med 53:137, 1972.
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© 1986 Martinus Nijhoff Publishing
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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
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DOI: https://doi.org/10.1007/978-1-4613-2311-2_2
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