Blood Purification in Acute Renal Failure
Authors: ZBYLUT J. TWARDOWSKI
Journal: Annals of Internal Medicine (1984)

Editorials1 March 1984Blood Purification in Acute Renal FailureZBYLUT J. TWARDOWSKI, M.D., KARL D. NOLPH, M. D.ZBYLUT J. TWARDOWSKI, M.D.Search for more papers by this author, KARL D. NOLPH, M. D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-100-3-447 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptMethods for blood purification are used in acute renal failure for four main goals: to remove toxic substances presumably responsible for the uremic syndrome; to remove potassium for treatment or prevention of hyperkalemia; to administer bicarbonate to control metabolic acidosis; and to remove excessive body water and sodium. Four major methods of blood purification have been available: intermittent peritoneal dialysis, continuous ambulatory peritoneal dialysis, hemodialysis, and intermittent hemofiltration. In this issue, Kaplan and associates (1) describe 6 months' experience with yet another method developed recently (2-4): continuous arteriovenous hemofiltration. These methods, including this new addition, have various advantages and disadvantages...References1. KAPLANLONGNECKERFOLKERT ARV. Continuous arteriovenous hemofiltration: a report of six months' experience. Ann Intern Med. 1984;100:358-67. LinkGoogle Scholar2. SILVERSTEINFORDLYSAGHTHENDERSON MCML Treatment of severe fluid overload by ultrafiltration. N Engl J Med. 1974;291:747-51. CrossrefMedlineGoogle Scholar3. KRAMERWIGGERRIEGERMATTHAEISCHELER PWJDF. [Arteriovenous haemofiltration: a new and simple method for treatment of over-hydrated patients resistant to diuretics.] Klin Wochenschr. 1977;55:1121-2. CrossrefMedlineGoogle Scholar4. LAUERSACCAGGIRONCOBELLEDONNEGLABMANBOSCH AACMSJ. Continuous arteriovenous hemofiltration in the critically ill patient: clinical use and operational characteristics. 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Ultrafiltration and haemofiltration-practical applications. In: DRUKKER W, PARSONS FM, MAHER JF, eds. Replacement of Renal Function by Dialysis. Boston: Martinus Nijhoff Publishers; 1983:265-74. CrossrefGoogle Scholar18. ARIEFFMASSRYBARRIENTOSKLEEMAN ASAC. Brain water and electrolyte metabolism in uremia: effects of slow and rapid hemodialysis. Kidney Int. 1973;4:177-87. CrossrefMedlineGoogle Scholar19. BERLYNELEERALSTONWOOLCOCK GHAJ. Pulmonary complications of peritoneal dialysis. Lancet. 1966;2:75-8. CrossrefMedlineGoogle Scholar20. NOVELLOKJELLSTRAND AC. Is bicarbonate dialysis better than acetate dialysis? Am Soc Artif Intern Organs. 1983;6:103-7. MedlineGoogle Scholar21. GLENNNOLPH LK. Treatment of pancreatitis with peritoneal dialysis. Peritoneal Dial Bull. 1982;2:63-9. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: ZBYLUT J. TWARDOWSKI, M.D.; KARL D. NOLPH, M. D.Affiliations: University of Missouri Health Sciences Center and Harry S. Truman Veterans Administration Memorial Hospital Columbia, Missouri PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byPrinciples of peritoneal dialysis and its application in acute renal failureRenal replacement therapy in patients with chronic (end stage) renal failure and acute illnessThe haemodynamic effects of intermittent haemofiltration in critically ill patientsEstimation of Theophylline Clearance During Continuous Arteriovenous HemofiltrationPeritoneal dialysisPlacement of Peritoneal CathetersKarl D. Nolph, MDContinuous Arteriovenous Hemodialysis — Clinical ExperienceBlood Purification Techniques in Intensive Care Units with Special Reference to Acute Renal FailureHämodialyse oder Hämofiltration beim akuten Nierenversagen?Continuous HemofiltrationDONALD J. KENNEDY, M.D., RICHARD N. GREENBERG, M.D., LESLIE W. MILLER, M.D. 1 March 1984Volume 100, Issue 3Page: 447-449KeywordsAcidosisAcute renal failureBicarbonatesBloodHemofiltrationPeritoneal dialysisPotassiumSodium ePublished: 1 December 2008 Issue Published: 1 March 1984 PDF downloadLoading ...