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Related Experiment Videos

High altitude haemofiltration.

P E Stevens, L L Bloodworth, D J Rainford

    British Medical Journal (Clinical Research Ed.)
    |May 24, 1986
    PubMed
    Summary
    This summary is machine-generated.

    Continuous arteriovenous hemofiltration safely managed fluid overload in acute renal failure patients during air evacuation. This critical care technique allows for safe aeromedical transfer of vulnerable patients.

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    Area of Science:

    • Nephrology
    • Aeromedical Medicine
    • Critical Care

    Background:

    • Aeromedical evacuation of patients with acute renal failure (ARF) presents significant challenges due to altitude-related exacerbation of fluid overload and anemia.
    • Managing fluid balance is critical for patient stability during air transport.

    Observation:

    • Continuous arteriovenous hemofiltration (CAVH) was employed in two distinct cases to manage fluid balance during aeromedical evacuation.
    • Case 1: A patient with ARF and blast lung underwent CAVH at 500 ml/h for a 4-hour flight.
    • Case 2: A patient with ARF secondary to severe pre-eclamptic toxaemia post-cesarean section received CAVH at 200 ml/h during a 14-hour flight.

    Findings:

    • Both patients receiving CAVH during aeromedical evacuation experienced full recovery.

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  • CAVH effectively controlled intravascular volume, mitigating risks associated with fluid overload during air transport.
  • The hemofiltration technique proved successful in stabilizing patients with ARF during challenging aeromedical scenarios.

    • Implications:

    • Continuous arteriovenous hemofiltration is a valuable tool for managing fluid balance in patients with ARF during aeromedical evacuation.
    • This technique represents a significant advancement in ensuring the safe transfer of critically ill patients.
    • Implementing CAVH can improve outcomes for patients requiring aeromedical transport with renal compromise.