Comparison of Efficacy between Continuous Hemodiafiltration with a PMMA High-Performance Membrane Dialyzer and a PAN Membrane Hemofilter in the Treatment of Septic Shock Patients with Acute Renal Failure

2011 ◽  
pp. 182-190 ◽  
Author(s):  
Kenichi Matsuda ◽  
Takeshi Moriguchi ◽  
Norikazu Harii ◽  
Masahiko Yanagisawa ◽  
Daiki Harada ◽  
...  
Keyword(s):  
Septic Shock ◽  
Renal Failure ◽  
Acute Renal Failure ◽  
High Performance ◽  
Continuous Hemodiafiltration

A Comparison of Conventional Dialytic Therapy and Acute Continuous Hemodiafiltration in the Management of Acute Renal Failure in the Critically III

Renal Failure ◽  
1993 ◽  
Vol 15 (5) ◽  
pp. 595-602 ◽  
Author(s):  
Rinaldo Bellomo ◽  
Darren Mansfield ◽  
Stuart Rumble ◽  
Jeremy Shapiro ◽  
Geoffrey Parkin ◽  
...  
Keyword(s):  
Renal Failure ◽  
Acute Renal Failure ◽  
Continuous Hemodiafiltration

Predictors of Mortality in Patients Treated with Continuous Hemodiafiltration for Acute Renal Failure in an Intensive Care Setting

ASAIO Journal ◽  
2001 ◽  
Vol 47 (1) ◽  
pp. 86-91 ◽  
Author(s):  
Shigeyuki Sasaki ◽  
Satoshi Gando ◽  
Shigeaki Kobayashi ◽  
Satoshi Nanzaki ◽  
Toshiteru Ushitani ◽  
...  
Keyword(s):  
Renal Failure ◽  
Acute Renal Failure ◽  
Intensive Care ◽  
Care Setting ◽  
Intensive Care Setting ◽  
Continuous Hemodiafiltration ◽  
Predictors Of Mortality

IONIZED SERUM CALCIUM LEVELS DURING ACUTE RENAL FAILURE: INTERMITTENT HEMODIALYSIS VS. CONTINUOUS HEMODIAFILTRATION

Renal Failure ◽  
2002 ◽  
Vol 24 (1) ◽  
pp. 19-27 ◽  
Author(s):  
Han Khim Tan ◽  
Rinaldo Bellomo ◽  
Debrah A. M’Pisi ◽  
Claudio Ronco
Keyword(s):  
Renal Failure ◽  
Acute Renal Failure ◽  
Serum Calcium ◽  
Intermittent Hemodialysis ◽  
Continuous Hemodiafiltration

Phosphatemic Control during Acute Renal Failure: Intermittent Hemodialysis versus Continuous Hemodiafiltration

2001 ◽  
Vol 24 (4) ◽  
pp. 186-191 ◽  
Author(s):  
H.K. Tan ◽  
R. Bellomo ◽  
D.A. M'Pisi ◽  
C. Ronco
Keyword(s):  
Renal Failure ◽  
Acute Renal Failure ◽  
Normal Serum ◽  
Serum Phosphate ◽  
Phosphate Concentration ◽  
Intermittent Hemodialysis ◽  
Normal Range ◽  
Continuous Hemodiafiltration ◽  
Intensive Care Patients ◽  
Blood Tests

Background Achieving “adequacy of dialysis” includes the maintenance of normal serum phosphate concentrations and is an important therapeutic goal in the treatment of acute renal failure (ARF). It is unknown whether this goal is best achieved with intermittent or continuous renal replacement therapy. Methods We compared the effects of continuous veno-venous hemodiafiltration (CVVHDF) and intermittent hemodialysis (IHD) on serum phosphate concentrations using daily morning blood tests in 88 consecutive intensive care patients half of which were treated with IHD and half with CRRT. Results Mean patient age was 54 ± 14 years for IHD and 60 ± 14 years for CVVHDF (NS). However, patients who received CVVHDF were more critically ill (mean APACHE II scores: 24.4 ± 5.1 for IHD vs. 29.2 ± 5.7 for CVVHDF, p<0.003). Before treatment, the serum phosphate concentration was 2.04 ± 0.16 mmoll L for IHD and 1.96 ± 0.17 mmoll L for CVVHDF (NS), with abnormal values in 79.4% of IHD patients and in 64.8% of CVVHDF patients (NS). During treatment, CVVHDF induced a greater reduction in serum phosphate (p=0.02) during the first 48 hours and conferred superior subsequent control of hyperphosphatemia (achieved in 64.6% of observations during CVVHDF vs. 41.8% during IHD; p<0.0001). The serum phosphate concentration was also more likely to be within the normal range during CVVHDF (55.3% vs.36.2%; p<0.0001). There was a trend toward more frequent hypophosphatemia (9.3% vs. 5.6%; P<0.1) during CVVHDF. Conclusions Abnormal serum phosphate concentrations are frequent in ARF patients before and during renal replacement, however, normalization of phosphatemia is achieved more frequently with CVVHDF.

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