Abstract
The term ‘haemofiltration’ was suggested by Burton in 19761. It describes a process of blood purification first conceived by Henderson et al. in 19672. The physical principal involved is convection where solute movement occurs with fluid flow, as illustrated in Figure 2.1. This differs from dialysis in which solute molecules pass through a semipermeable membrane into an electrolyte solution by diffusion due to concentration gradient. A comparison of clearances in haemodialysis and haemofiltration is shown in Figure 2.2 and illustrates that clearance in haemofiltration is relatively independent of solute molecular weight (up to 10 000 Da).
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Eisenhauer Th. (1985). Continuous arteriovenous haemofiltration (CAVH). In Sieberth H. G. and Mann H. (Eds.) Conference on continuous arteriovenous hemofiltration (CAVH), Aachen (FRG) Karger Basel 1–13
Henderson L., Besarb A., Michaels A. and Bluemle L. W. (1967). Blood purification by ultrafiltration and fluid replacement (dialfiltration). Trans. Am. Soc. Artif. Intern. Organs, 16, 216–222
Okazaki M. and Yoshida F. (1976). Ultrafiltration of blood: Effect of hematocrit on ultrafiltration rate. Ann. Biomed. Eng., 4, 138
Silverstein M. E., Ford C. A., Lysaght M. J. and Henderson L. W. (1974). The treatment of intractable fluid overload. N. Engl. J. Med., 291, 747
Teschan, P. E., Baxter, C. R., O’Brien, T. F., Freyhof, J. N. and Hall, W. H. (1960). Prophylactic haemodialysis in the treatment of acute renal failure. Ann. Intern. Med., 53, 992
Kleinknech, D., Jüngers, P., Chanard, J., Barbanel, C., Ganeval, D. and Rondon-Nucete, M. (1971). Factors influencing immediate prognosis in acute renal failure with special reference to prophylactic haemodialysis. Adv. Nephrol., 1, 207–230
Easterling, R. E. and Forland, M. (1964). A five year experience with prophylactic dialysis for acute renal failure. Trans. Am. Soc. Artif. Intern. Organs, 10, 200–206
Olbricht, C. J., Schurek, H. J., Stolte, H. and Koch, K. M. (1985). The influence of vascular access mode on the efficiency of CAVH in continuous arterio-venous hemofiltration (CAVH). In Sieberth, H. G. and Mann, H. (eds.) International Conference on CAVH, Aschen, Karger, Basel, pp. 14–24
Golper, T. A. (1985). Continuous arteriovenous hemofiltration in acute renal failure. Am. J. Kidney Dis., 6, 373–386
Kohen, J. A., Whitley, K. Y. and Kjellstrand, C. M. (1985). Continuous arteriovenous hemofiltration: A comparison with hemodialysis in acute renal failure. Trans. Am. Soc. Artif. Intern. Organs, 31, 169–175
Baldamus, C. A. (1986). Hemodynamics in hemofiltration. In Henderson, L. W., Quellhorst, E. A., Baldamus, C. A. and Lysaght, M. J. (eds.) Hemofiltration, pp. 155–200. (Berlin, Heidelberg, New York, Tokyo: Springer-Verlag)
Bosch, J. P. and Laner, A. (1986). Acid-base balance in hemofiltration. In Henderson, L. W., Quellhorst, E. A., Baldamus, C. A. and Lysaght, M. J. (eds.) Hemofiltration, pp. 147–154. (Berlin, Heidelberg, New York, Toyko: Springer-Verlag)
Gotloib, L., Barzilay, E., Shustak, A., Wais, Z., Jaichenko, J. and Lev, A. (1986). Hemofiltration in septic ARDS. The artificial kidney as an artificial endocrine lung. Resuscitation, 13, 123–132
Knaus, W. A., Zimmerman, J. E., Wagner, D. P., Draper, E. A. and Lawrence, D. E. (1981). APACHE — acute physiology and chronic health evaluation: a physiologically based classification system. Crit. Care Med., 9, 591–597
Keene, A. R. and Cullen, D. J. (1983). Therapeutic intervention scoring system: update 1983. Crit. Care Med., 11, 1–3
Davison, A. M., Roberts, T. G., Mascie-Taylor, B. H. and Lewins, A. M. (1982). Haemofiltration for profound dialysis-induced hypotension: removal of sodium and water without blood-pressure change. Br. Med. J., 285, 87–89
Baldamus Conrad A., (1983) Clinical value and technical feasibility of long-term haemofiltration. ASAIO J., 6, 4, 192–196
Quellhorst, E. A., Schuenemann, B. and Hildebrand, U. (1983). Morbidity and mortality in long-term haemofiltration. ASAIO J., 6, 185–191
Wizemann, V., Kramer, W., Funke, T. and Schutterle, G. (1985). Dialysis-induced cardiac arrythmias: fact or fiction? Nephron, 39, 356–360
Henderson Lee, W. (1987). Hemofiltration. Kidney, 20, 6, 25–30
Glabman, S. and Lauer, A. (1986). Selection of patients for haemofiltration. In Henderson et al. (eds.) Haemofiltration, pp. 115–118. (Berlin, Heidelberg, New York, Tokyo: Springer-Verlag)
Henderson Lee, W. (1986). Heterogeneity of the cardiovascular response to haemofiltration. Kidney Int., 29, 901–907
Quellhorst, E. A. (1986). Blood pressure control. In Henderson et al. (eds.) Haemofiltration, pp. 201–210. (Berlin, Heidelberg, New York, Tokyo: Springer-Verlag)
Schneider, H. (1982). Electrolyte balance during haemofiltration treatment. Contr. Nephrol., 32, 111–118
Haas, T., Dongradi, G., Villeboeuf, F., De Viel, E., Fournier, J. F. and Duruy, D. (1983). Plasma kinetics of small molecules during and after haemofiltration: Decrease in haemofiltration efficiency related to increase in ultrafiltration rate. Clin. Nephrol., 19, 193–200
Pogglitsch, H., Petek, W., Ziak, E., Sterz, F. and Holzer, H. (1984). Phosphorus kinetics during haemodialysis and haemofiltration. Proc. EDTA-ERA, 21, 461–467
Schaefer, K. and Von Herrath, D. (1986). Impact of haemofiltration on various metabolic and endocrine disturbances of chronic uraemia. In Henderson et al. (eds.) Haemofiltration, pp. 211–220. (Berlin, Heidelberg, New York, Tokyo: Springer-Verlag)
Muller-Wiefel, D. E., Rauh, W., Wingen, A. M., Mehls, O. and Scharer, K. (1982). Haemofiltration in children. Contr. Nephrol., 32, 128–136
Sebert, J. L., Fournier, A., Leflon, P., Fohrer, P., de Fremont, J. F., Moriniere, Ph., Galy, CI., Marie, A., Demonts, R., Boudailliez, B., Gueris, J., Dkhissi, H., Garabedian, M. and Lambrey, G. (1986). Comparative evaluation of bone aluminium content and bone histology in patients on chronic haemodialysis and haemofiltration. Nephron., 42, 34–40
Baldamus, C. A., Schmidt, H., Scheuermann, E. H., Werner, E., Kaltwasser, J. P. and Schoeppe, W. (1984). Desferrioxamine treatment for aluminium and iron overload in uraemic patients treated by haemodialysis or haemofiltration. Proc. EDTA-ERA, 21, 382–386
Pascual, J. F., Lopes, J. D. and Molina, M. (1987). Hemofiltration in children with renal failure. Paediatr. Clin. N. Am., 34, 3, 803–817
Locsey, L., Lenhey, A. and Leovey, A. (1987). Hormonal changes in haemodialysed and in kidney transplanted patients. Int. Urol. Nephrol. (Hungary), 19 (2), 201–213
Bosch, J. P. and Lauer, A. (1986). Acid-based balance in haemofiltration. In Henderson et al. (eds.) Haemofiltration, pp. 147–154. (Berlin, Heidelberg, New York, Tokyo: Springer-Verlag)
Kaiser, J. P., Hagemann, J., von Herrath, D. and Schaefer, K. (1988). Different handling of beta2-microglobulin during haemodialysis and haemofiltration. Nephron, 48, 132–135
Floge, J., Granolleras, C., Bingel, M., Deschodt, G., Branger, B., Oules, R., Koch, K. M. and Shaldon, S. (1987). Beta2-microglobulin kinetics in haemodialysis and haemofiltration. Nephrol. Dial. Transplant, 1 (4), 223–228
Zobel, G., Beitzke, A., Stein, J. I. and Trop, M. (1987). Continuous arteriovenous haemofiltration in children with post-operative cardiac failure. Br. Heart. J., 58 (5), 473–476
Zobel, G., Trop, M., Ring, E. and Grubbauer, H. M. (1987). Arteriovenous hemofiltration in children with multiple organ system failure. Int. J. Artif. Organs (Italy), 10 (4), 233–238
Schaefer, K., Asmus, G., Quellhorst, E., Pauls, A., von Herrath, D. and Jahnke, J. (1984). Optimum dialysis treatment for patients over 60 years with primary renal disease. Survival data and clinical results from 242 patients treated either by haemodialysis or haemofiltration. Proc. EDTA-ERA, 21, 510–517
Quellhorst, E. A. (1986). Long-term survival. In Henderson et al. (eds.) Haemofiltration, pp. 221–232. (Berlin, Heidelberg, New York, Tokyo: Springer-Verlag)
Keshaviah, P. and Leuhmann, D. (1984). The importance of water treatment in haemodialysis and haemofiltration. Proc. EDTA-ERA, 21, 111–129
Henderson, L. W. and Leypoldt, J. K. (1986). Quantitation and prescription of therapy. In Henderson et al. (eds.) Haemofiltration, pp. 129–145. (Berlin, Heidelberg, New York, Tokyo: Springer-Verlag)
Bosch, J. P., von Albertini, B. and Glabmans, S. (1982). Prescription for haemofiltration. Contr. Nephrol., 31, 137–145
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1989 Kluwer Academic Publishers
About this chapter
Cite this chapter
Martin, A.M., Mchugh, M.I. (1989). Haemofiltration. In: Catto, G.R.D. (eds) Haemodialysis. New Clinical Applications Nephrology, vol 6. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-1257-1_2
Download citation
DOI: https://doi.org/10.1007/978-94-009-1257-1_2
Publisher Name: Springer, Dordrecht
Print ISBN: 978-94-010-7058-4
Online ISBN: 978-94-009-1257-1
eBook Packages: Springer Book Archive