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Successful treatment of gastrointestinal infection-induced septic shock using the oXiris® hemofilter: A case report.

BACKGROUND: Septic shock leads to multiple organ failure, and bacterial endotoxins and endogenous cytokines play essential roles in the path … acement therapy (CRRT) with an oXiris® hemofilter for 72 h with intermittent continuous veno-venous hemodiafiltration (CVVHDF), and changed the filter every 12 h. After his hemodynamic parameters were stable, we used a traditional filter (AN69 hemofilter) with intermittent CVVHDF. The 72 h CRRT with the oXiris® hemofilter led to stabilization of his vital signs, ma …

Hemodialysis patients receiving a greater Kt dose than recommended have reduced mortality and hospitalization risk.

Achieving an adequate dialysis dose is one of the key goals for dialysis treatments. Here we assessed whether patients receiving the current … litus and catheter access. Treatment dialysis time, effective blood flow, and percentage of on-line hemodiafiltration were significantly higher in groups with a higher dose. The mortality risk profile showed a progressive increase when achieved minus target Kt became more negative but was significantly lower in the group with 1 to 3 L clearance above target Kt and …

Effect of pulmonary support using extracorporeal membrane oxygenation for adult liver transplant recipients with respiratory failure.

BACKGROUND: Adult liver transplantation (OLT) recipients occasionally show serious acute cardiopulmonary dysfunction, requiring intensive ca … and six deceased donor OLT. RESULTS: A venovenous access mode and concurrent continuous venovenous hemodiafiltration were used in all patients. There were no procedure-related complications. Eight patients (44.4%) were successfully weaned from ECMO upon the first attempt after a mean support of 11.9 ± 6.1 days, but the other 10 died due to overwhelming infection. …

Short-term cardiovascular effects of plasmapheresis in norepinephrine-refractory septic shock.

OBJECTIVE: To examine the short-term cardiovascular effects of plasmapheresis in seven patients (six surgical, one medical) with norepinephr … atients received ventilatory support; two had acute oligoanuric renal failure treated by continuous hemodiafiltration. MEASUREMENTS AND RESULTS: We recorded heart rate, mean arterial pressure, central venous pressure, catecholamine dose, gas exchange, acid-base status, diuresis, C-reactive protein, white blood cell count, and Simplified Acute Physiological Score I …

Clinical application of Ultracontrol®: infusion volume and use with different dialyzers.

INTRODUCTION: Recent studies indicate that the survival benefit with post-dilution on line hemodiafiltration (OL-HDF-post) are achieved if the infusion volume (Vinf) is greater than 20L per session, a goal that is not easily achieved due to hemoconcentration problems. Today we have automated techniques to achieve higher performance minimizing the number of alarms as Ultracontrol® (Ultrac). The objective in the first part of study was to evaluate the UltraC performance (expressed as the filtration fraction (FF) and Vinf) and which problems it presents, and in the second part, to study its …

Effect of acetate-free biofiltration with a potassium-profiled dialysate on the control of cardiac arrhythmias in patients at risk: a pilot study.

Cardiac arrhythmias are a frequent event in chronic hemodialysis patients. The aim of this study was to evaluate the efficacy and safety of acetate-free hemofiltration with potassium-profiled dialysate (AFB-K) dialysis compared with constant potassium acetate-free biofiltration (AFB). Twelve patients (mean age 79 years) affected by cardiac arrhythmias or at a high risk for arrhythmia (advanced age, hypertension, left ventricular hypertrophy, heart valve disease, coronary artery disease, diabetes, paroxysmal atrial fibrillation) participated in a single-center, sequential cohort study. All were

Minimal change disease with acute renal failure: a case against the nephrosarca hypothesis.

An unusual but well-documented presentation of minimal change disease is nephrotic proteinuria and acute renal failure. One pathophysiological mechanism proposed to explain this syndrome is nephrosarca, or severe oedema of the kidney. We describe a patient with minimal change disease who presented with heavy proteinuria and acute renal failure but had no evidence of renal interstitial oedema on biopsy. Aggressive fluid removal did not reverse the acute renal failure. Renal function slowly returned concomitant with resolution of the nephrotic syndrome following corticosteroid therapy. The time

Efficacy and safety of regional citrate anticoagulation using calcium-containing replacement solution in different modalities of continuous renal replacement therapy: a randomized controlled trial.

OBJECTIVE: Regional citrate anticoagulation (RCA) is recommended as the first choice of anticoagulation strategies in continuous renal repla … enous hemofiltration (CVVH), continuous veno-venous hemodialysis (CVVHD) and continuous veno-venous hemodiafiltration (CVVHDF) groups from 2022 to 2023. The primary outcomes were circuit lifespan and early circuit failure. Secondary endpoints included the safety of the three groups and 30-day all-cause mortality. RESULTS: A total of 121 patients were enrolled, wit …

Present Status of Renal Replacement Therapy in Asian Countries.

BACKGROUND: Asia is a huge and populous continent with diverse economies where the status of renal replacement therapy varies among different countries. SUMMARY: The penetration of dialysis is poor among low income countries like India and China. A lack of trained nephrologists and limited numbers of dialysis facilities plague South Asian countries. Most of the hemodialysis centers are in the private sector; the few centers that are government-run or run by charitable organizations cannot meet growing needs. China has shown that twice-a-week hemodialysis can be feasible in female patients wit

Detection of microemboli in the subclavian vein of patients undergoing haemodialysis and haemodiafiltration using pulsed Doppler ultrasound.

BACKGROUND: The pathophysiology leading to pulmonary side effects during haemodialysis and haemodiafiltration is not yet fully understood. Chronic microembolization, which can be demonstrated by pulsed Doppler ultrasound, may be one cause. METHODS: The study cohort consisted of 24 long-term dialysis patients undergoing haemodialysis (n=21) and online-haemodiafiltration (n=3), respectively. The subclavian vein downstream to the venous access was investigated during different phases of the procedure using a 2-MHz pulsed ultrasound device. RESULTS: In all periods investigated (connection, dialy

[Paired filtration dialysis and free radicals].

BACKGROUND: Extracorporeal dialysis compensating kidney function represents a risk of elevated production of free radicals (FR). Paired filtration dialysis (PFD) is a hemodialysing method used to compensate kidney function. The aim of our work was to study effects of PFD with two types of hemodiafilters on the activity of free radicals. METHOD AND RESULTS: Group of nine regularly dialysed patients was treated with PFD 1) with demodiafilter SG3, composed of polysulphone high-flux hemodiafilter and hemophane low-flux dialysator, 2) with hemodiafilter SG30, composed of identical hemodiafilter as

[Fluid management after off-pump CABG in a patient receiving preoperative continuous ambulatory peritoneal dialysis].

Perioperative management of off-pump CABG in a patient receiving continuous ambulatory peritoneal dialysis (CAPD) was reported. Prior to the procedure, we considered that postoperative management could be performed by CAPD alone in the case of off-pump CABG. However, due to an unexpected increase in the circulating blood volume and dilution of blood after surgery, congestive cardiac failure developed and active dehydration was required for 3 days after the operation using CHDF and HD. Despite this treatment, the central venous pressure and the cardiothoracic ratio in the chest X-ray were eleva

Serial determination of caffeine and active metabolites in a case of severe caffeine poisoning causing recurrent cardiac arrest after hemodialysis: a case report.

Caffeine is highly dialyzable, and cases of severe caffeine poisoning causing recurrent symptoms after hemodialysis (HD) and the serial eval … Return of spontaneous circulation was achieved with 1 mg of intravenous adrenaline, and continuous hemodiafiltration was performed, resulting in circulatory stability. Complications included abdominal compartment syndrome, right lower limb compartment syndrome, and hypoxic-ischemic encephalopathy. She was transferred to a rehabilitation facility on day 111. Serum …

Экстракорпоральные стратегии свободного освещения и гемоглозы в эпоху эффективной антимиеломной терапии.

Повреждение реналов затрагивает до половины пациентов с недавно поставленным диагнозом множественной миеломы, и примерно 2-4% из них требуют диализа при презентации, чаще всего из-за нефропатии легкой цепи. У этих пациентов восстановление почек связано со скоростью и величиной сокращения свободных световых цепей (SFLC) в наблюдательных группах - ассоциации, которая в основном отражает гематологическую реакцию на химиотерапию; постепенное преимущество удаления циркулирующих SFLC с помощью экстракорпоральных средств остается неопределенным, и эта повествование построена вокруг этого вопроса в ны

Совпадение в аннотации оригинала
Renal impairment affects up to half of patients with newly diagnosed multiple myeloma, and roughly 2-4% require dialysis at presentation, mo … igh-cutoff arm of EuLITE. Medium-cutoff membranes, polymethylmethacrylate adsorptive dialyzers, and hemodiafiltration with endogenous reinfusion have achieved substantial sFLC reduction with less albumin loss in small uncontrolled series, without any randomized comparison against conventional dialysis. Daratumumab-containing induction lowers sFLCs within days and m …

The epidemiology of encapsulating peritoneal sclerosis in an era of biocompatible neutral peritoneal dialysis solution in Japan.

BACKGROUND: Encapsulating peritoneal sclerosis (EPS) is one of the most serious complications of peritoneal dialysis (PD). Although the inci … patients on other dialysis modalities with experience of PD. The majority received hemodialysis or hemodiafiltration, with a mean dialysis duration of 12-14 years. The crude death rate was approximately 5% and death from ileus was more frequent than in the total cohort of dialysis patients. CONCLUSIONS: The present study using a nationwide database of Japanese di …

Multi-organ Involvement in Catastrophic Antiphospholipid Syndrome: A Challenging Case with a Fatal Outcome.

Catastrophic antiphospholipid syndrome (CAPS) is a rare, life-threatening variant of antiphospholipid syndrome (APS) characterized by extens … d with the development of diffuse alveolar hemorrhage, which required broadspectrum antibiotics and hemodiafiltration for acute renal failure. Despite multidisciplinary efforts and adherence to recommended CAPS protocols, the patient's condition progressively deteriorated, culminating in fatal multiorgan failure. The unpredictable and aggressive nature of CAPS and …

Diabetes with COVID-19 was a significant risk factor for mortality, mechanical ventilation, and renal replacement therapies: A multicenter retrospective study in Japan.

We conducted a multicenter retrospective cohort study across 38 hospitals in Chiba, Japan, between February 1, 2020 and November 31, 2021 to … ve care unit (ICU) admission, renal replacement therapies such as hemodialysis (HD), and continuous hemodiafiltration (CHDF) were all higher, even after adjusting for age, sex, BMI, and ambulance use. In conclusion, diabetes was a significant risk factor of the severe clinical outcomes especially for in-hospital mortality, mechanical ventilation usage, ICU admissio …