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Hemoconcentration by ultrafiltration during open-heart surgery

Solem, Jan Otto LU ; Ståhl, Erik LU ; Kugelberg, Jan and Steen, Stig LU (1988) In Scandinavian Journal of Thoracic and Cardiovascular Surgery 22(3). p.271-274
Abstract
Ultrafiltration was used during extracorporeal circulation (ECC) with heart-lung machine in 17 critically ill cardiac patients. In ultrafiltration (hemofiltration), water and small molecules (e.g. urea, creatinine and electrolytes), are separated from the blood by hydrostatic pressure generated on the blood side of a semipermeable membrane. The patients had severe water overload for three reasons, viz. congestive heart failure (10), renal failure (6) or iatrogenic extreme hemodilution (1). On average 2090 (800-5700) ml water was filtered off, increasing the hematocrit from 25 to 33%. Three indications for ultrafiltration during ECC and two modes of such treatment are exemplified in three case reports. No negative effect of the treatment... (More)
Ultrafiltration was used during extracorporeal circulation (ECC) with heart-lung machine in 17 critically ill cardiac patients. In ultrafiltration (hemofiltration), water and small molecules (e.g. urea, creatinine and electrolytes), are separated from the blood by hydrostatic pressure generated on the blood side of a semipermeable membrane. The patients had severe water overload for three reasons, viz. congestive heart failure (10), renal failure (6) or iatrogenic extreme hemodilution (1). On average 2090 (800-5700) ml water was filtered off, increasing the hematocrit from 25 to 33%. Three indications for ultrafiltration during ECC and two modes of such treatment are exemplified in three case reports. No negative effect of the treatment was observed. Ultrafiltration during ECC thus may help to improve the postoperative course in patients with severe water overload due to congestive heart failure, renal failure or iatrogenic extreme hemodilution. (Less)
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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
renal failure, ECC, ultrafiltration, hemofiltration, hemoconcentration, overhydration
in
Scandinavian Journal of Thoracic and Cardiovascular Surgery
volume
22
issue
3
pages
271 - 274
publisher
Taylor & Francis
external identifiers
  • pmid:3227329
  • scopus:0023748908
ISSN
0036-5580
DOI
10.3109/14017438809106074
language
English
LU publication?
yes
id
f47be9be-d786-49a3-badc-317739dcf5cb (old id 1104381)
date added to LUP
2016-04-01 17:06:32
date last changed
2021-01-03 07:01:38
@article{f47be9be-d786-49a3-badc-317739dcf5cb,
  abstract     = {{Ultrafiltration was used during extracorporeal circulation (ECC) with heart-lung machine in 17 critically ill cardiac patients. In ultrafiltration (hemofiltration), water and small molecules (e.g. urea, creatinine and electrolytes), are separated from the blood by hydrostatic pressure generated on the blood side of a semipermeable membrane. The patients had severe water overload for three reasons, viz. congestive heart failure (10), renal failure (6) or iatrogenic extreme hemodilution (1). On average 2090 (800-5700) ml water was filtered off, increasing the hematocrit from 25 to 33%. Three indications for ultrafiltration during ECC and two modes of such treatment are exemplified in three case reports. No negative effect of the treatment was observed. Ultrafiltration during ECC thus may help to improve the postoperative course in patients with severe water overload due to congestive heart failure, renal failure or iatrogenic extreme hemodilution.}},
  author       = {{Solem, Jan Otto and Ståhl, Erik and Kugelberg, Jan and Steen, Stig}},
  issn         = {{0036-5580}},
  keywords     = {{renal failure; ECC; ultrafiltration; hemofiltration; hemoconcentration; overhydration}},
  language     = {{eng}},
  number       = {{3}},
  pages        = {{271--274}},
  publisher    = {{Taylor & Francis}},
  series       = {{Scandinavian Journal of Thoracic and Cardiovascular Surgery}},
  title        = {{Hemoconcentration by ultrafiltration during open-heart surgery}},
  url          = {{http://dx.doi.org/10.3109/14017438809106074}},
  doi          = {{10.3109/14017438809106074}},
  volume       = {{22}},
  year         = {{1988}},
}