Pulse High Volume Hemofiltration

Brendolan, Alessandra; D'Intini, Vincent; Ricci, Z.; Bonello, Monica; Salvatori, Gabriella; Bordoni, Valeria; Cal, Massimo de; Andrikos, E.; Ronco, C.

doi:10.1177/039139880402700614

Cited by 8 publications

(9 citation statements)

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“…Based on these studies and taking into account the disparate clinical results achieved in the past with high-volume hemofiltration [27][28][29][30][31] , the Vicenza group has proposed a novel convective approach for the management of septic shock termed pulse high-volume hemofiltration [32,33] . These investigators observed correctly that previous pharmaceutical interventions targeting a specific inflammatory mediator and administered at a discrete time point have largely failed because of the dynamic nature of the septic process [34,35] , the exception being activated protein C [36] .…”

Section: Introductionmentioning

confidence: 99%

Recent Clinical Advances in the Management of Critically Ill Patients with Acute Renal Failure

Clark

Letteri²,

Uchino

et al. 2006

Blood Purif

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Background: Significant progress has been made in the field of renal replacement therapy for critically ill patients with acute renal failure (ARF) over the past few years. This review highlights these developments. Methods: Recent studies assessing the clinical utility of the RIFLE classification system for the diagnosis of ARF were reviewed. Clinical outcome studies evaluating the effect of continuous renal replacement therapy (CRRT) dose and timing of initiation were assessed. The final review topic was the effect of dialysis modality on the recovery of renal function in ARF patients. Conclusions: Based on recent clinical studies, the increasing use of the RIFLE criteria is justified, as this approach appears to be a robust method for both the diagnosis of and prognostication in ARF. A large randomized trial involving convective CRRT supports the commonly used prescription of 35 ml/ kg/h in clinical practice. Moreover, numerous recent outcome studies, also largely involving convective CRRT, provide a clinical rationale for the increasingly common clinical practice of earlier initiation. Finally, several recent studies suggest CRRT, relative to conventional hemodialysis, results in a greater rate of renal recovery in ARF patients.

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Section: Introductionmentioning

confidence: 99%

Recent Clinical Advances in the Management of Critically Ill Patients with Acute Renal Failure

Clark

Letteri²,

Uchino

et al. 2006

Blood Purif

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“…Some authors recommend the use of the renal replacement therapy in rhabdomyolisis only if there is progressive raise in kalium levels, oliguria (<0.5 mL of urine per kilogram per hour for 12 hours), anuria, volume overload, or resistant metabolic acidosis-pH < 7.1 [7]. Common techniques of dialysis have shown a limited capacity for removal of circulating myoglobin.…”

Section: Discussionmentioning

confidence: 99%

Treating Severe Hyperkalemia with Renal Replacement Therapy in Acute Kidney Failure Due To Rhabdomyolysis

Ibrahimi

Kuçi

Bejko

et al. 2014

Open Access Maced J Med Sci

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“…Continuous treatments with a dose greater than 45 ml/kg/h identify very high-volume hemofiltration (VHVHF) modalities. Intermittent procedures with brief, very high-volume treatments at 100 to 120 ml/kg/h for 4–8 h, followed by conventional CVVH, are identified as pulse HVHF [ 34 ]. However, there is no evidence that HVHF, when compared with standard dose hemofiltration, leads to a reduction in mortality [ 35 ].…”

Section: Extracorporeal Therapies and Treatmentsmentioning

confidence: 99%

Nomenclature for renal replacement therapy and blood purification techniques in critically ill patients: practical applications

et al. 2016

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This article reports the conclusions of the second part of a consensus expert conference on the nomenclature of renal replacement therapy (RRT) techniques currently utilized to manage acute kidney injury and other organ dysfunction syndromes in critically ill patients. A multidisciplinary approach was taken to achieve harmonization of definitions, components, techniques, and operations of the extracorporeal therapies. The article describes the RRT techniques in detail with the relevant technology, procedures, and phases of treatment and key aspects of volume management/fluid balance in critically ill patients. In addition, the article describes recent developments in other extracorporeal therapies, including therapeutic plasma exchange, multiple organ support therapy, liver support, lung support, and blood purification in sepsis. This is a consensus report on nomenclature harmonization in extracorporeal blood purification therapies, such as hemofiltration, plasma exchange, multiple organ support therapies, and blood purification in sepsis.

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Pulse High Volume Hemofiltration

Abstract: The correct surname is reprinted above, with apologies to the Author.

Cited by 8 publications

References 0 publications

Recent Clinical Advances in the Management of Critically Ill Patients with Acute Renal Failure

Recent Clinical Advances in the Management of Critically Ill Patients with Acute Renal Failure

Treating Severe Hyperkalemia with Renal Replacement Therapy in Acute Kidney Failure Due To Rhabdomyolysis

Nomenclature for renal replacement therapy and blood purification techniques in critically ill patients: practical applications

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