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Continuous venovenous hemodialysis.

Authors
  • Strohschein, B L
  • Caruso, D M
  • Greene, K A
Type
Published Article
Journal
American journal of critical care : an official publication, American Association of Critical-Care Nurses
Publication Date
Mar 01, 1994
Volume
3
Issue
2
Identifiers
PMID: 8167781
Source
Medline
License
Unknown

Abstract

Hemodialysis and peritoneal dialysis are the main renal replacement therapies for patients with acute renal failure. These patients are often unable to tolerate drastic fluid shifts and other complications of conventional dialysis. Continuous hemodialysis, however, provides protection from the hemodynamic consequences and osmotic stressors of conventional dialysis and is rapidly becoming the treatment of choice for critically ill patients. We present a case in which a patient with a spontaneous cerebellar hemorrhage developed acute renal failure. Surgical evacuation was not an option. Clinical management included the use of continuous venovenous hemodialysis, which is described in the setting of a patient with a posterior fossa mass. The risks of anticoagulation, hemodynamic instability, and development of dialysis disequilibrium syndrome are discussed.

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