Peripheral ultrafiltration for patients with volume overload: a center's 4-year experience
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Updated: Jul 11, 2026

Bedside Ultrasound for Guiding Fluid Removal in Patients with Pulmonary Edema: The Reverse-FALLS Protocol
Published on: July 28, 2018
Cynthia T Walsh1, Dorothy Wagemester
1Sharp Memorial Hospital, San Diego, California 92123, USA. Cynthia.walsh@sharp.com
Abstract:
The overall prevalence of heart failure in the United States is thought to be over 5 million people, with an additional 550 000 cases diagnosed each year. Peripheral ultrafiltration provides an additional method for relieving congestion in patients with decompensated heart failure who are resistant to diuretics. A competency-based education program for staff ensures adequate knowledge to safely care for the patient. Over a 4-year period, 120 patients have been treated for volume overload using peripheral ultrafiltration at Sharp Memorial Hospital.
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