Usefulness of continuous hemodiafiltration(CHDF) for critically ill patients.

喜雄, 大竹; 博之, 平澤; 桂雄, 菅井; 成人, 織田; 英敏, 志賀; 兼一, 松田; 伸哉, 北村; 通夫, 小高

doi:10.4009/jsdt1985.24.1149

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2019

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“…Blood catecholamine concentrations can be reduced by continuously removing catecholamines through CHDF while having a minimal impact on the hemodynamic status. Furthermore, since CHDF is more suited to the removal of small to medium-sized molecules compared to regular hemodialysis, CHDF may be highly effective against catecholamines that have relatively small molecular sizes (15). In fact, there are a few studies that have reported on the effectiveness of CHDF in pheochromocytoma crisis (2,3).…”

Section: Discussionmentioning

confidence: 99%

Continuous Hemodiafiltration for Pheochromocytoma Crisis with a Positive Outcome

et al. 2019

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A 38-year-old woman who consulted a local doctor with chief complaints of sudden palpitations, headaches, and chest pain is herein presented. After admission, pheochromocytoma crisis was suspected. Since the patient had a history of acute heart failure and had once survived an episode of cardiac arrest, a rapid decrease in the catecholamine levels was needed. After resuscitation, pharmacological therapy with agents such as phentolamine and landiolol was administered, and continuous hemodiafiltration (CHDF) was performed to reduce the catecholamine levels. Elective surgery was then performed, and a positive outcome was achieved. This case suggests that the preoperative use of CHDF to control pheochromocytoma crisis may therefore be effective.

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Section: Discussionmentioning

confidence: 99%