Skip to main content

Intermittent Hemodialysis

  • Chapter
  • First Online:
Management of Acute Kidney Problems

Abstract

The best indications for intermittent hemodialysis in acute patients are acute metabolic or toxic derangements in the absence of uncontrolled hemodynamic instability. Intermittent hemodialysis can often be performed without anticoagulation and thus has advantages in patients at risk of bleeding complications. It is the preferred treatment option for patients with isolated kidney failure, as it preserves patient mobility.

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 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
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

References

  1. Kramer P, Wigger W, Rieger J, Matthaei D, Scheler F. Arteriovenous hemofiltration: a new and simple method for treatment of over-hydrated patients resistant to diuretics. Wien Klin Wochenschr 1977;55:1121–22.

    CAS  Google Scholar 

  2. Uchino S, Kellum JA, Bellomo R, et al. Acute renal failure in critically ill patients: a multinational multicenter study. JAMA, 2005;294:813–8.

    Article  CAS  PubMed  Google Scholar 

  3. Schortgen F, Soubrier N, Delclaux C, et al. Hemodynamic tolerance of intermittent hemodialysis in ICU: usefulness of practice guidelines. Am J Respir Crit Care Med, 2000; 162:197–20.

    CAS  PubMed  Google Scholar 

  4. Kellum JA, Angus DC, Johnson JP, et al. Continuous versus intermittent renal replacement therapy: a meta-analysis. Intensive Care Med 2002;28:29–37.

    Article  PubMed  Google Scholar 

  5. Tonelli M, Manns B, Feller-Kopman D. Acute renal failure in the intensive care unit: a systematic review of the impact of dialytic modality on mortality and renal recovery. Am J Kidney Dis 2002;40:875–85.

    Article  PubMed  Google Scholar 

  6. Rabindranath K, Adams J, Macleod AM, Muirhead N. Intermittent versus continuous renal replacement therapy for acute renal failure in adults. Cochrane Database Syst Rev. 2007 July 18;(3):CD003773.

    Google Scholar 

  7. Bagshaw SM, Berthiaume LR, Delaney A, Bellomo R. Continuous versus intermittent renal replacement therapy for critically ill patients with acute kidney injury: a meta-analysis. Crit Care Med. 2008;36:610–7.

    Article  PubMed  Google Scholar 

  8. Uehlinger DE, Jakob SM, Ferrari P, et al. Comparison of continuous and intermittent renal replacement therapy for acute renal failure. Nephrol Dial Transplant 2005;20:1630–7.

    Article  PubMed  Google Scholar 

  9. Vinsonneau C, Camus C, Combes A, et al. Continuous venovenous haemodiafiltration versus intermittent haemodialysis for acute renal failure in patients with multiple-organ dysfunction syndrome: a multicentre randomised trial. Lancet 2006;368:379–85.

    Article  PubMed  Google Scholar 

  10. Fliser D, Kielstein JT. A single-pass batch dialysis system: an ideal dialysis method for the patient in intensive care with acute renal failure. Curr Opin Crit Care 2004;10:483–8.

    Article  PubMed  Google Scholar 

  11. Parienti JJ, Thirion M, Mégarbane B, et al. Femoral vs jugular venous catheterization and risk of nosocomial events in adults requiring acute renal replacement therapy: a randomized controlled trial. JAMA 2008;299:2413–22.

    Article  CAS  PubMed  Google Scholar 

  12. Alonso A, Lau J, Jaber BL. Biocompatible hemodialysis membranes for acute renal failure. Cochrane Database Syst Rev 2008 Jan 23;(1):CD005283.

    Google Scholar 

  13. McGill RL, Blas A, Bialkin S, Sandroni SE, Marcus JR. Clinical consequences of heparin-free hemodialysis. Hemodial Int 2005;9:393–8.

    Article  PubMed  Google Scholar 

  14. Schiffl H, Lang SM, Fischer R. Daily hemodialysis and the outcome of acute renal failure. N Engl J Med, 2002;346: 305–10.

    Article  PubMed  Google Scholar 

  15. Kleinknecht D, Jungers P, Chanard J, Barbanel C, Ganeval D. Uremic and non-uremic complications in acute renal failure: Evaluation of early and frequent dialysis on prognosis. Kidney Int 1972;1:190–6.

    CAS  Google Scholar 

  16. Paganini EP, Tapolyai M, Goormastic M, et al. Establishing a dialysis therapy/patient outcome link in intensive care unit dialysis for patients with acute renal failure. Am J Kidney Dis. 1996;28:S81–S89.

    Article  Google Scholar 

  17. Ronco C, Bellomo R, Homel P, et al. Effects of different doses in continuous veno-venous haemofiltration on outcomes of acute renal failure: a prospective randomised trial. Lancet 2000;356:26–30.

    Article  CAS  PubMed  Google Scholar 

  18. Saudan P, Niederberger M, De Seigneux S, et al. Adding a dialysis dose to continuous hemofiltration increases survival in patients with acute renal failure. Kidney Int. 2006;70:1312–7.

    Article  CAS  PubMed  Google Scholar 

  19. Bouman CS, Oudemans-Van Straaten HM, Tijssen JG, Zandstra DF, Kesecioglu J. Effects of early high-volume continuous venovenous hemofiltration on survival and recovery of renal function in intensive care patients with acute renal failure: a prospective, randomized trial. Crit Care Med 2002;30:2205–11.

    Article  PubMed  Google Scholar 

  20. Tolwani AJ, Campbell RC, Stofan BS, Lai KR, Oster RA, Wille KM. Standard versus high-dose CVVHDF for ICU-related acute renal failure. J Am Soc Nephrol. 2008;19: 1233–8.

    Article  PubMed  Google Scholar 

  21. VA/NIH Acute Renal Failure Trial Network, Palevsky PM, Zhang JH, O’Connor TZ et al. Intensity of renal support in critically ill patients with acute kidney injury. N Engl J Med. 2008;359:7–20.

    Article  CAS  PubMed  Google Scholar 

  22. Ridel C, Osman D, Mercadal L, Anguel N, Petitclerc T, Richard C, Vinsonneau C. Ionic dialysance: a new valid parameter for quantification of dialysis efficiency in acute renal failure? Intensive Care Med 2007;33:460–5.

    Article  CAS  PubMed  Google Scholar 

  23. Mehta RL, McDonald B, Gabbai FB, et al. A randomized clinical trial of continuous versus intermittent dialysis for acute renal failure. Kidney Int 2001;60:1154–63.

    Article  CAS  PubMed  Google Scholar 

  24. John S, Griesbach D, Baumgärtel M, Weihprecht H, Schmieder RE, Geiger H. Effects of continuous haemofiltration vs intermittent heamodialysis on systemic heamodynamics and splanchnic regional perfusion in septic shock patients: a prospective, randomized clinical trial. Nephrol Dial Transplant 2001;16:320–7.

    Article  CAS  PubMed  Google Scholar 

  25. Gasparovic V, Filipovic-Greie I, Merkler M, Pisl Z. Continuous renal replacement therapy (CRRT) or intermittent hemodialysis (IHD) – what is the procedure of choice in critically ill patients? Ren Fail 2003;25:855–62.

    Article  PubMed  Google Scholar 

  26. Augustine JJ, Sandy D, Seifert TH, Paganini EP. A randomized controlled trial comparing intermittent with continuous dialysis in patients with ARF. Am J Kidney Dis 2004;44:1000–7.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Christophe Vinsonneau .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2010 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Vinsonneau, C., Benyamina, M. (2010). Intermittent Hemodialysis. In: Jörres, A., Ronco, C., Kellum, J. (eds) Management of Acute Kidney Problems. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-69441-0_51

Download citation

  • DOI: https://doi.org/10.1007/978-3-540-69441-0_51

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-69413-7

  • Online ISBN: 978-3-540-69441-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics