Prevention of Dialysis Disequilibrium by use of CVVH
| Autor: | Gina-Marie Barletta, Norma J. Maxvold, John W. Winters, Timothy E. Bunchman, Richard Hackbarth |
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| Rok vydání: | 2007 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Disequilibrium Water-Electrolyte Imbalance 030232 urology & nephrology Biomedical Engineering Medicine (miscellaneous) Bioengineering 030204 cardiovascular system & hematology Biomaterials 03 medical and health sciences 0302 clinical medicine Renal Dialysis Hemofiltration medicine Humans Urea Citrates Child Intensive care medicine Dialysis disequilibrium business.industry Anticoagulants General Medicine medicine.disease Uremia Kidney Failure Chronic Hemodialysis medicine.symptom business Urea metabolism |
| Zdroj: | The International Journal of Artificial Organs. 30:441-444 |
| ISSN: | 1724-6040 0391-3988 |
| DOI: | 10.1177/039139880703000512 |
| Popis: | Objective. Dialysis disequilibrium occurs due to a rapid shift of osmols when hemodialysis is used in cases of extreme uremia. Continuous veno-venous hemofiltration (CVVH) with citrate anticoagulation may offer a safe method of urea reduction. Design. Retrospective, clinical observation. Setting. Tertiary pediatric intensive care unit and nephrology program. Patients Two males, ages 10 and 12 years of age. Intervention. CVVH with citrate anticoagulation. Results. Three to four day reduction of BUN from 180 mg/dL to 22 mg/dL and from 279 mg/dL to 23 mg/dL. Conclusion. Slow and safe improvement of severe urea, hyperphosphatemia, hypocalcemia, and anemia without untoward side effects. |
| Databáze: | OpenAIRE |
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