Faculty Collaboration Database

Continuous venovenous hemodialysis. Am J Crit Care 1994 Mar;3(2):92-9; quiz 100-1

Date

03/01/1994

Pubmed ID

8167781

Scopus ID

2-s2.0-0028391041 (requires institutional sign-in at Scopus site)   5 Citations

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.

Author List

Strohschein BL, Caruso DM, Greene KA

Author

Karl A. Greene MD Adjunct Assistant Professor in the Neurosurgery department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Acute Kidney Injury
Cerebellar Diseases
Equipment Failure
Female
Hemorrhage
Humans
Middle Aged
Renal Dialysis