Acute Continuous Renal Replacement Therapy

✍ Scribed by L. Henderson (auth.), Emil P. Paganini M.D., F.A.C.P. (eds.)

Publisher: Springer US
Year: 1986
Tongue: English
Leaves: 295
Series: Developments in Nephrology 13
Edition: 1
Category: Library

No coin nor oath required. For personal study only.

✦ Synopsis

The initial observations of dialytic support were brought from the laboratory and confined to patients with reversible acute renal failure. The thought at that time was one of short term maintenance. It was theorized that removal of waste products from the blood, albeit incomplete and inefficient, might allow these patients time to regenerate damaged tubules and regain renal function. After a dis appointing earlier experience in survival, greater sophisti cation and broader practice refined the dialysis skills and reduced mortality. It also became apparent that long periods of support were possible and successful attempts were then made in utilizing this technology in patients with chronic renal failure. These early young patients were a very select group who possessed only renal dysfunction and no other systemic involvement. Nonetheless, they demonstrated a one year survival of only 55-64%. There are presently over 80,000 patients on dialytic support in the United States and over 250,000 patients worldwide dependent on artificial replace ment. Mortality statistics vary but despite a 20-30% systemic disease involvement and a fifth decade average age in the North American experience, the one year survival has risen to apparently 90%.

✦ Table of Contents

Front Matter....Pages i-xv
Ultrafiltration/Hemofiltration Overview: Where Does CAVH Fit?....Pages 1-5
Continuous Replacement Modalities in Acute Renal Dysfunction....Pages 7-41
Transport in Continuous Arteriovenous Hemofiltration and Slow Continuous Ultrafiltration....Pages 43-50
The Practical Technical Aspects of Slow Continuous Ultrafil Tration (SCUF) and Continuous Arteriovenous Hemofiltration (CAVH)....Pages 51-77
Fluid Balance in Continuous Arteriovenous Hemofiltration....Pages 79-89
Hemofiltration and Ultrafiltration: Nursing Concerns....Pages 91-111
Hyperalimentation in Acute Renal Failure....Pages 113-122
Continuous Arteriovenous Hemofiltration — the Control of Azotemia in Acute Renal Failure....Pages 123-141
The Predilution Mode for Continuous Arteriovenous Hemofil Tration....Pages 143-172
Nutrition in Acute Renal Failure: Treatment Made Possible by Continuous Arteriovenous Hemofiltration (CAVH)....Pages 173-183
Drug Kinetics and Continuous Arteriovenous Hemofiltration....Pages 185-199
Continuous Arteriovenous Hemofiltration in Infants....Pages 201-245
Continuous Arteriovenous Hemodialysis — Laboratory Experience and Theory....Pages 247-253
Continuous Arteriovenous Hemodialysis — Clinical Experience....Pages 255-267
Continuous Ambulatory Peritoneal Dialysis in Acute Renal Failure....Pages 269-282
Continuous Arteriovenous Hemofiltration —Applications other than for Renal Failure....Pages 283-292

✦ Subjects

Nephrology

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