Advertisement

Evolution of Hemofiltration

  • C. Ronco
  • R. Bellomo
Conference paper

Abstract

Acute renal failure can occur in transplanted patients due to several pathologic events. Isolated acute renal failure (ARF), treated with intermittent or daily hemodialysis, generally has a favourable outcome [1, 2]. In patients with severe infectious complications or sepsis, however, ARF is often part of a more complex clinical entity generally described as multiple organ dysfunction syndrome. These patients have a severe prognosis and hemo or peritoneal dialysis may sometimes be contraindicated or present potential hazards [2–4]. To overcome these problems, continuous renal replacement therapies have been introduced in the clinical routine and practically applied since 1977 [5, 6].

Keywords

Peritoneal Dialysis Acute Renal Failure Renal Replacement Therapy Continuous Renal Replacement Therapy Intensive Care Patient 
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.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Knochel J (1983) Biochemical, electrolyte and acid-base disturbances in acute renal failure. In: Brenner BM, Lazarus JM (eds) Acute Renal Failure. WB Saunders, Philadelphia, pp 568–585Google Scholar
  2. 2.
    Lien J, Chan V (1985) Risk factors influencing survival in acute renal failure treated by hemodialysis. Arch Intern Med 145: 2067PubMedCrossRefGoogle Scholar
  3. 3.
    Henderson LW, Besarab A, Michaels A et al (1967) Blood purification by ultrafiltration and fluid replacement (diafiltration). Trans ASAIO 17: 216–221Google Scholar
  4. 4.
    Silverstein ME, Ford CA, Lysaght MT et al (1974) Treatment of severe fluid overload by ultrafiltration. New Engl J Med 291: 747PubMedCrossRefGoogle Scholar
  5. 5.
    Kramer P, Wigger W, Rieger J et al (1977) Arteriovenous hemofiltration: a new and simple method for treatment of overhydrated patients resistant to diuretics. Klin Wschr 55: 1121PubMedCrossRefGoogle Scholar
  6. 6.
    Lauer A, Saccaggi A, Ronco C et al (1983) Continuous arteriovenous hemofiltration in the critically ill patient. Ann Intern Med 99: 455PubMedGoogle Scholar
  7. 7.
    Bellomo R (1995) Continuous hemofiltration as blood purification in sepsis. New Horizons 4: 732–737Google Scholar
  8. 8.
    Groeneveld ABJ, Tran DD, van der Meulen J et al (1991) Acute renal failure in the medical intensive care unit: Predisposing, complicating factors and outcome. Nephron 59: 602–610PubMedCrossRefGoogle Scholar
  9. 9.
    Wheeler DC, Feehally J, Walls J (1986) High risk acute renal failure. Q J Med 61: 977–984PubMedGoogle Scholar
  10. 10.
    Lange HW, Aeppli DM, Brown DC (1987) Survival of patients with acute renal failure requiring dialysis after open heart surgery: early prognostic indicators. Am Heart J 113: 1138–1143PubMedCrossRefGoogle Scholar
  11. 11.
    Spiegel DM, Ullian ME, Zerbe GO et al (1991) Determinants of survival and recovery in acute renal failure patients dialysed in intensive care unit. Am J Nephrol 11: 44–47PubMedCrossRefGoogle Scholar
  12. 12.
    Chew SL, Lins RL, Daelemans R et al (1993) Outcome in acute renal failure. Nephrol Dial Transplant 8: 101–107PubMedGoogle Scholar
  13. 13.
    Ronco C, Brendolan A, Bragantini L et al (1985) Continuous arterio-venous hemofiltration. Contr Nephrol 48: 70–78Google Scholar
  14. 14.
    Geronemus R, Schneider N (1984) Continuous arteriovenous hemodialysis: a new modality for treatment of acute renal failure. Trans Am Soc Artif Intern Organs 30: 610–613PubMedGoogle Scholar
  15. 15.
    Bellomo R, Parkin G, Love J et al (1992) Management of acute renal failure in the critically ill with continuous hemovenous hemodiafiltration. Ren Fail 14: 183–186PubMedCrossRefGoogle Scholar
  16. 16.
    Wendon J, Smithies M, Sheppard A et al (1989) Continuous high-volume veno-venous hemofiltration in acute renal failure. Intensive Care Med 15: 358–363PubMedCrossRefGoogle Scholar
  17. 17.
    Mc Donald BR, Mehta RL (1991) Decreased mortality in patients with acute renal failure undergoing continuous arteriovenous hemodialysis. Contrib Nephrol 93: 51–56Google Scholar
  18. 18.
    Hakim RM (1993) Clinical implications of hemodialysis membrane biocompatibility. Kidney Int 44: 484–494PubMedCrossRefGoogle Scholar
  19. 19.
    Schiffe H, Lang SM, Koenig A et al (1994) Biocompatible membranes in acute renal failure: prospective case-controlled study. Lancet 344: 570–572CrossRefGoogle Scholar
  20. 20.
    Knaus WA, Draper EA, Wagner DP et al (1985) APACHE II: A severity of disease classification system. Crit Care Med 13: 818–829PubMedCrossRefGoogle Scholar
  21. 21.
    Knaus WA, Wagner DA, Draper EA et al (1991) The APACHE II Prognostic system. Risk predictions of hospital mortality for critically ill hospitalized adults. Chest 100: 1619–1636PubMedCrossRefGoogle Scholar
  22. 22.
    Le Gall J-R, Lameshow S, Saulnier F (1993) A new simplified acute physiology score (SAPS II) based on a European/North American multicenter study. JAMA 270: 2957–2963PubMedCrossRefGoogle Scholar
  23. 23.
    Lameshaw S, Teres D, Klar J et al (1993) Mortality probability models (MPMII) based on an international cohort of Intensive Care Unit patients. JAMA 270: 2478–2486CrossRefGoogle Scholar
  24. 24.
    The ACCP/SCCM Consensus Conference Committee (1992) Definitions for sepsis and organ failure and guidelines for the use of innovative therapies in sepsis. Chest 101: 1644–1655CrossRefGoogle Scholar
  25. 25.
    European Society of Intensive Care Medicine Expert Panel (1991) The use of the pulmonary artery catheter. Intensive Care Med 17: I–VIIICrossRefGoogle Scholar
  26. 26.
    Bidani A, Tzounakis AE, Cardenas VJ et al (1994) Permissive hypercapnia in acute respiratory failure. JAMA 272: 957–962PubMedCrossRefGoogle Scholar
  27. 27.
    Slutsky AS (1994) Consensus conference on mechanical ventilation. Part I. Intensive Care Med 20: 64–79PubMedCrossRefGoogle Scholar
  28. 28.
    Slutsky AS (1994) Consensus conference on mechanical ventilation. Part II. Intensive Care Med 20: 150–162PubMedCrossRefGoogle Scholar
  29. 29.
    Ronco C (1993) Continuous renal replacement therapies for the treatment of acute renal failure in intensive care patients. Clin Nephrol 40: 187–198PubMedGoogle Scholar
  30. 30.
    Ronco C (1994) Continuous renal replacement therapies in the treatment of acute renal failure in intensive care patients. Part 1. Theoretical aspects and techniques. Nephrol Dial Transplant 9[Suppl 4]: 191–200PubMedGoogle Scholar
  31. 31.
    Ronco C (1994) Continuous renal replacement therapies in the treatment of acute renal failure in intensive care patients. Part 2. Clinical indications and prescription. Nephrol Dial Transplant 9 [Suppl 4]: 201–209PubMedGoogle Scholar
  32. 32.
    Grootendorst AF, van Bommel EFH, van der Hoven B et al (1992). High volume hemofiltration improves right ventricular function in endotoxin induced shock in the pig. Intensive Care Med 18: 235–240PubMedCrossRefGoogle Scholar
  33. 33.
    La Greca G, Dettori P, Biasioli S et al (1980) Brain density studies during dialysis. Lancet 2: 582PubMedCrossRefGoogle Scholar
  34. 34.
    La Greca G, Biasioli S, Chiaramonte S et al (1982) Studies on brain density in hemodialysis and peritoneal dialysis. Nephron 31: 146–150PubMedCrossRefGoogle Scholar
  35. 35.
    Bellomo R, Tipping P, Boyce N (1993) Continuous venovenous hemofiltration with dialysis removes cytokines from the circulation of septic patients. Crit Care Med 21: 522–526PubMedCrossRefGoogle Scholar
  36. 36.
    Ronco C, Tetta C, Lupi A et al (1995) Removal of platelet-activating factor in experimental continuous arteriovenous hemofiltration. Crit Care Med 1: 99–107CrossRefGoogle Scholar

Copyright information

© Springer-Verlag Italia, Milano 1998

Authors and Affiliations

  • C. Ronco
  • R. Bellomo

There are no affiliations available

Personalised recommendations