1987
DOI: 10.1055/s-2007-1020221 View full text |Buy / Rent full text
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Abstract: Hemofiltration (HF) is an established method for treating patients with impaired renal function and excessive fluid retention. In cardiac surgery fluid accumulation during extracorporeal circulation (ECC) may contribute to postoperative organ dysfunction, leading to severe pulmonary insufficiency. In this study our experiences with hemofiltration installed in the cardiopulmonary bypass are demonstrated in patients with preoperative pulmonary edema, impaired renal function, and long-term ECC, proving its effica… Show more

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“…Also with hemofiltration, there is an elevated plasma oncotic pressure,[ 39 40 ] and this lead to absorption of interstitial fluids,[ 12 ] and intracellular fluid leading to dehydration of cells,[ 41 42 43 ] and building up anaerobic metabolism.…”
Section: Discussionmentioning
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“…Also with hemofiltration, there is an elevated plasma oncotic pressure,[ 39 40 ] and this lead to absorption of interstitial fluids,[ 12 ] and intracellular fluid leading to dehydration of cells,[ 41 42 43 ] and building up anaerobic metabolism.…”
Section: Discussionmentioning
“…In adults, Bellomo et al [1] found that post-operative anemia, thrombocytopenia and hypoalbunemia were significantly decreased by the removal of approximately 3.4 litres of fluid with hemofiltration during CPB. One of the possible benefits of such hemoconcentration is improved post-operative haemostasis [20][21][22][23]. Preservation of colloidal osmotic pressure may reduce the excessive accumulation of extra-vascular water.…”
Section: Treatment and Prevention Of Fluid Overloadmentioning
“…[67][68][69] However, the use of ultrafiltration and modified ultrafiltration techniques is controversial. 67,[70][71][72][73] Only a few older studies have reported the use of extreme hemodilution followed by reinfusion of the saved autologous blood in pediatric cardiac surgery. Laver et al 74 reported in the 1970s on twenty patients (10 adults and 10 children) who underwent extreme hemodilution with profound hypothermia and circulatory arrest for congenital or acquired heart disease.…”
Section: Studies Of Hemodilution In Pediatric Cardiovascular Surgerymentioning