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[Continuous arteriovenous hemofiltration (CAVH)]

T Stokke, P Kramer, J Schrader

    Der Anaesthesist
    |October 1, 1982
    PubMed
    Summary
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    Continuous arteriovenous haemofiltration (CAVH) offers a safe and cost-effective method for treating uremic patients. This technique simplifies fluid management and nutrition delivery, potentially eliminating the need for conventional dialysis.

    Area of Science:

    • Nephrology
    • Critical Care Medicine
    • Vascular Access

    Context:

    • Continuous arteriovenous haemofiltration (CAVH) is an established extracorporeal blood purification technique.
    • Uremic patients often require intensive fluid and electrolyte management.
    • The method involves an extracorporeal circuit between the femoral artery and vein.

    Purpose:

    • To present the method and clinical experiences with continuous arteriovenous haemofiltration (CAVH).
    • To evaluate the efficacy and safety of CAVH in managing uremic patients.
    • To highlight the advantages of CAVH over conventional dialysis methods.

    Summary:

    • CAVH utilizes a haemofilter placed in an extracorporeal shunt between the femoral artery and vein.
    • Heparin is administered for anticoagulation, and filtrate is replaced with nutritional solutions and Ringer's lactate.

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  • The technique allows for optimal fluid and electrolyte balance, continuous parenteral nutrition, and continuous fluid withdrawal.
  • Impact:

    • CAVH provides effective management of water and electrolyte balance in uremic patients.
    • It facilitates unlimited parenteral nutrition and is better tolerated than intermittent dialysis.
    • The method is cost-effective, requiring no machine investment and reducing the need for specialized personnel, with a low risk of bleeding complications.