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Continuous arteriovenous hemofiltration in acute renal failure.

T A Golper

    American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation
    |December 1, 1985
    PubMed
    Summary

    Continuous arteriovenous hemofiltration (CAVH) is a preferred renal replacement therapy for hemodynamically unstable patients with acute renal failure. CAVH offers comparable costs and benefits to traditional dialysis, with detailed operational insights provided.

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    Area of Science:

    • Nephrology
    • Critical Care Medicine
    • Renal Replacement Therapy

    Background:

    • Acute renal failure necessitates effective renal replacement therapy.
    • Hemodynamic instability presents challenges in managing acute renal failure.
    • Traditional dialysis may not be suitable for all critically ill patients.

    Purpose of the Study:

    • To review the settings and applications of continuous arteriovenous hemofiltration (CAVH).
    • To compare CAVH with traditional dialysis for acute renal failure.
    • To detail various aspects of CAVH management and outcomes.

    Main Methods:

    • Extensive literature review focusing on continuous arteriovenous hemofiltration (CAVH).
    • Comparative analysis of CAVH versus traditional dialysis therapies.

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  • Detailed discussion of operational characteristics, complications, and troubleshooting.

    • Main Results:

    • CAVH settings and operational characteristics are described.
    • Hemodynamic stability, membrane biocompatibility, nutrition, fluid/solute removal, anticoagulation, and drug removal are discussed.
    • The cost of CAVH is comparable to traditional dialysis.

    Conclusions:

    • Continuous arteriovenous hemofiltration (CAVH) is a suitable renal replacement therapy for hemodynamically unstable patients.
    • CAVH is recommended for acute renal failure patients with contraindications to peritoneal dialysis.
    • This review provides comprehensive guidance on CAVH implementation and management.