• Transfus Apher Sci · Dec 2006

    Review

    On-line continuous hemodiafiltration in sepsis.

    • Hideki Kawanishi.
    • Akane Foundation, Tsuchiya General Hospital 3-30, Nakajima-cho, Naka-ku, Hiroshima 730-8655, Japan.
    • Transfus Apher Sci. 2006 Dec 1; 35 (3): 265-9.

    AbstractOn-line products of substitution fluid by bicarbonate buffered dialysate permits virtually unlimited fluid volume exchange during continuous hemodiafiltration (CHDF) to critical care. In on-line hemodiafiltration (HDF), endotoxin free dialysate obtained using pyrogen cut filters is infused into the blood circuit, and HDF is automatically performed using the close-loop balancing system of the dialysis machine. On-line CHDF is the application of this on-line HDF to continuous renal replacement therapy in the critical care field. We performed on-line CHDF of the totally in 123 septic shock patients during a 5-year period and the mean survival rate was 54%. We concluded that on-line CHDF system is safe and effective at maintaining acute kidney injury with sepsis.

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