[PDF] Continuous Arteriovenous Hemofiltration eBook

Author : John A. Kellum
Publisher : Oxford University Press
Page : 329 pages
File Size : 14,65 MB
Release : 2016
Category : Medical
ISBN : 019022553X

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Continuous Renal Replacement Therapy provides concise, evidence-based, bedside guidance for the management of critically ill patients with acute renal failure, offering quick reference answers to clinicians' questions about treatments and situations encountered in daily practice.

Author : Peter Kramer
Publisher : Springer Science & Business Media
Page : 403 pages
File Size : 18,22 MB
Release : 2012-12-06
Category : Medical
ISBN : 3642703704

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Discovery and Relative Importance of Continuous Arteriovenous HemofIltration Lee W. Henderson Continuous arteriovenous hemofiltration (CAVH) has seen a brisk upswing in popularity in Europe since its introduction by Dr. Kramer and colleagues from Gottingen, West Germany in 1977 [1]. In the United States, the technique re ceived approval as a clinical tool from the Food and Drug Administration in April 1982. This approval flowed, in no small measure, from the extensive expe rience reported from Europe and in particular West Germany [e. g., 2, 3]. Reports of its clinical utility now have begun to appear in the United States [4]. Removal of excess total body water using synthetic membranes in an extracor poreal circuit dates back to the work of Alwall and the artificial kidney that he designed which permitted utilization of a hydrostatic pressure gradient to moti vate water flow across the membrane [5]. Kolffs original rotating drum with its unencased membrane required an osmotic driving force [6]. Hemofiltration, the use of the filtration process to remove uremic solutes with the artificial kidney, in analogy with the glomerulus, was reported in 1967 [7]. This was made possible by the availability of synthetic membranes with far higher hydraulic permeability (approximately 10 times higher) than conventionally used cellulosic hemodialysis membrane. Specific applications of these "high flux" membranes to the removal primarily of excess total body water followed shortly thereafter [8].

Author : William Drukker
Publisher : Springer Science & Business Media
Page : 962 pages
File Size : 24,40 MB
Release : 2012-12-06
Category : Medical
ISBN : 9400967683

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More than 50 years after Haas' first human dialysis, and second edition by incorporating chapters on its history 40 years after Kolfrs pioneering work, a book on the and on the practical aspects. present state of the art cannot be written by one person: The size of the book has almost doubled, partly by obviously it had to be a multi-authored volume. There using more illustrations. The inclusion of a number of fore some overlap between chapters and even a few con colour reproductions has been made possible by a sup troversies between authors became unavoidable. porting grant * of the National Kidney Foundation of we deliberately avoided editorial streamlin the Netherlands, which the editors gratefully acknow However ing of manuscripts, leaving the authors' personal style ledge. We considered asking several authors to shorten their and personal opinions unaltered as much as possible. We resisted this as it would have delayed the This may make the book more vivid to read and may chapters. sometimes stimulate readers to study a subject in greater publishing date and would possibly have removed much detail from the literature. Additionally, both British and material besides being a painful task for our collea American spellings have been kept because of the inter gues.

Author : Didier Journois
Publisher : CRC Press
Page : 252 pages
File Size : 45,7 MB
Release : 1997-09-01
Category : Medical
ISBN : 9789057021213

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Hemofiltration is now recognised as the optimal therapeutic solution for supplying renal function in patients with acute renal failure associated with poor hemodynamic conditions This situation is often observed in patients with severe impairment in the function of one or several other organs Since its introduction in the intensive care units in the 1970s, hemofiltration has been subject to some major improvements regarding the required material and devices such as catheters, lines, filters, or pumps This progress has been accompanied by a better knowledge of the management of patients undergoing the technique, especially concerning nutritional support, drug administration, control of body temperature, as well as fluid and electrolytes balance or cost control Moreover, some additional beneficial effects of hemofiltration have been recently pointed out, suggesting that this technique could provide more than an already efficient renal support by removing some substances responsible for an exagger