Continuous arteriovenous hemofiltration. A report of six months' experience

A. A. Kaplan, R. E. Longnecker, V. W. Folkert

Research output: Contribution to journalArticle

133 Scopus citations

Abstract

Continuous arteriovenous hemofiltration using small hollow-fiber hemofilters, without pumps, was used as an alternative to conventional methods of acute dialytic therapy. During a 6-month period, 15 patients had 17 treatments. Mean treatment duration was 98.5 ± 101.1 (SD) hours (range, 4 to 300 hours), for a total of 1673 hours. Mean output per treatment was 9.5 ± 4.4 mL/min, which was found to be adequate to control uremia despite a considerable protein intake. Six patients had a significant hemorrhage; however, all 6 had active bleeding and existing coagulopathies before beginning treatment. Overall, continuous arteriovenous hemofiltration was found to be a convenient and safe method for providing continuous fluid, electrolyte, and acid-base balance in patients with inadequate renal function. The treatment was particularly useful in patients with vascular instability or severe fluid overload.

Original languageEnglish (US)
Pages (from-to)358-367
Number of pages10
JournalAnnals of internal medicine
Volume100
Issue number3
DOIs
StatePublished - Jan 1 1984

ASJC Scopus subject areas

  • Internal Medicine

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