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Bag-Filter Hemodiafiltration (BF-HDF): Simple and Effective Treatment of Acute Renal Failure

  • Giorgio Bazzato
  • U. Coli
  • Silvano Landini
  • Agostino Fracasso
  • Paolo Morachiello
  • Flavio Righetto
  • Flavio Scanferla
Part of the Advances in Experimental Medicine and Biology book series (AEMB, volume 212)

Abstract

Many therapeutic approaches have been employed for treatment of pat­ients with acute renal failure (ARF). Hemodialysis and peritoneal dialysis have been applied since the first attempts in uremia therapy with temporary blood or peritoneal access. In the last decades several other strategies have been experienced on the basis of the clinical status such continuous arterio -venous hemofiltration (CAVH)1, intermittent hemofiltration2, hem­operfusion3, continuous peritoneal dialysis4, hemodiafiltration5, etc. Indeed the choice for appropriate treatment actually derives from the etio­logy of renal failure which may provide the best procedure for each patient. Hemofiltration with high volume exchange appears more indicated for septic hypotensive patients with ARF6; hemoperfusion associated with hemodialysis, on the other hand, seems more suitable for depuration of patients assuming different poisons or toxic substances . More recently hemodiafiltration has demonstrated several advantages in the treatment of acute and severely ill uremic patients8. The rationale of hemodiafiltration as treatment of choice in such patients derives from the chance of removing water and uremic subst­ances and simultaneous infusion of large volume as replacement fluids. In such a manner electrolytes and acid-base pattern can be adequately correct­ed by buffers and electrolyte solutions, in addition to the administration of calories by glucose, aminoacids and lipids.

Keywords

Peritoneal Dialysis Acute Renal Failure Fluid Removal High Clinical Risk Adequate Depuration 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    P. Kramer, J. Böhler, A. Kehz, H. J. Gröne, J. Schrader, D. Matthaei and F. Scheler, Intensive care potential of continuous arterio-venous hemofiltration, Trans. ASAIO 28: 28 (1982).Google Scholar
  2. 2.
    A. M. Pierides, B. Schniepp and W. J. Johnson, Hemofiltration in the treatment of acute and chronic renal failure, Proc. Clin. Dial. Transpl. Forum 9: 50 (1979).Google Scholar
  3. 3.
    J. F. Winchester, Hemoperfusion in uremia, in: “Sorbents and their clinical applications” C. Giordano, ed., Academic Press, Inc., New York (1980).Google Scholar
  4. 4.
    K. D. Nolph, R. P. Popovich and J. W. Moncrief, Theoretical and prati-cal implications of CAPD, Nephron 21: 117 (1978).PubMedCrossRefGoogle Scholar
  5. 5.
    H. W. Leber, V. Wizemann, G. Gaubeaud, P. Rawer and G. Schütterle, Simultaneous hemofiltration/hemodialysis: an effective alternative to hemofiltration and conventional hemodialysis in the treatment of uremic patients, Clin. Nephrol. 9: 150 (1978).Google Scholar
  6. 6.
    S. Shaldon, M. C. Bean, G. Deschodt, P. Ramperer and C. Mion, Vascular stability during hemofiltration, Trans. ASAIO 26: 391 (1980).Google Scholar
  7. 7.
    J. F. Winchester, M. C. Gelfand, J. H. Kuepshield and G. E. Schreiner, Dialysis and hemoperfusion of poisons and drugs. Update, Trans. ASAIO 23: 762 (1977).Google Scholar
  8. 8.
    G. Schütterle, V. Wizemann and G. Seyffart, Hemodiafiltration, Proc. 1 Symp. Giessen 1981 ( Hygieneplan, Oberursel 1982 ).Google Scholar
  9. 9.
    G. Bazzato, U. Coli, S. Landini, S. Lucatello, A. Fracasso, P. Morachiello, F. Righetto, F. Scanferla, A bag-filter model as machineless artificial kidney, Trans. ASAIO 29: 657 (1983).Google Scholar
  10. 10.
    G. Bazzato, U. Coli, S. Landini, F. Scanferla, A new model for spontaneous hemodialysis, Sem. Nephrol. 3: 256 (1983).Google Scholar
  11. 11.
    G. Bazzato, U. Coli, S. Landini, S. Lucatello, A. Fracasso, P. Morachiello, F. Righetto, F. Scanferla, Combined hemofilter and bag-filter: an artificial nephron, Proc. ISAO Kyoto meeting 2: 408 (1983).Google Scholar
  12. 12.
    T. W. Valk, R. D. Swartz and C. H. Hsu, Peritoneal dialysis in acute renal failure: analysis of outcome and complications, Dialysis and Transpl. 9: 48 (1980).Google Scholar
  13. 13.
    P. Kramer, Arteriovenous hemofiltration. A kidney replacement therapy for intensive care unit, Springer-Verlag (1985).Google Scholar
  14. 14.
    C. Ronco, Arterio-venous hemodiafiltration (A-V HDF): a possible way to increase urea removal during CAVH, Int. J. Art. Org. 8:61 (1985)Google Scholar

Copyright information

© Plenum Press, New York 1987

Authors and Affiliations

  • Giorgio Bazzato
    • 1
  • U. Coli
    • 1
  • Silvano Landini
    • 1
  • Agostino Fracasso
    • 1
  • Paolo Morachiello
    • 1
  • Flavio Righetto
    • 1
  • Flavio Scanferla
    • 1
  1. 1.Nephrology and Dialysis DepartmentUmberto I HospitalVenice-MestreItaly

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