[Continuous arteriovenous hemofiltration for the treatment of XXXX ].

@entity1 @entity788 @entity295 @entity8 @entity1133 @entity5507 @entity810 @entity972 @entity1011 @entity298 @entity130
Continuous arterio-venous haemofiltration (CAVH), a simple technique not employing pumps, was used for treatment of @entity810 in 25 intensive care @entity1 (mean age 52 +/- 16 [SD] years). @entity810 was due to @entity130 in 9 @entity1 , occurred after surgery in 7 @entity1 and was related to @entity295 in 5 @entity1 , @entity298 in 2 @entity1 and @entity788 in one @entity1 ; in one @entity1 @entity810 developed during pregnancy after preexisting @entity8 . Seventeen @entity1 were oliguric and 8 @entity1 were non-oliguric, with a mean daily urine output of 507 +/- 407 ml. At the start of CAVH the serum @entity1011 level was 511 +/- 198 mumol/l. The duration of treatment with CAVH was 1 to 36 days (average 9.3 days). Access to the circulation was by cannulation of the femoral artery and vein in 23 @entity1 and by Scribner shunt in 2 @entity1 . After an initial systemic dose of 2000 IU heparin, a continuous infusion of 250-1000 IU/hr into the arterial blood line was administered, adjusted to a partial thrombin time of 58 +/- 28 sec. With this heparin regimen a single haemofilter could be used for an average time of 2.6 +/- 1.2 days. The mean spontaneous filtration rate was 6 +/- 2 ml/min, resulting in the following serum levels: @entity1011 490 +/- 187 mumol/l; @entity1133 39 +/- 12.5 mmol/l; @entity972 4.5 +/- 0.5 mmol/l. Nine catheter-associated complications occurred in 5 @entity1 . The most important aspect of CAVH was its simplicity, optimal control of fluid balance and the possibility of unlimited parenteral nutrition. @entity5507 was adequately and continuously controlled. Prognosis of ARF was related to the @entity1 ' underlying illness.
