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Continuous arteriovenous hemofiltration (CAVH) is an effective method for renal failure management that has the potential to decrease mortality rates. This hypothesis has not been comparatively studied. Fifty six patients with acute oliguric renal failure complicating multiple organ failure had measurements of resting energy expenditure by indirect calorimetry, caloric and protein intake, energy balance, and outcome. Two management protocols included hemodialysis, full calories, and low protein (phase I) or CAVH, full calories, and high protein (phase II). The survival rate in phase I was 12% and 28% in phase II (not a statistically significant difference); CAVH did facilitate parenteral feeding. Patients with positive energy balance had improved survival compared with those with significant energy deficit (37.5% versus 9.4%, p less than 0.025). We conclude that full nutritional support improves survival in acute renal failure. The method of renal replacement therapy is of secondary importance, but CAVH has distinct advantages in the nutritional management of surgical patients.
R H Bartlett, and
J R Mault, and
R E Dechert, and
J Palmer, and
R D Swartz, and
F K Port
December 1985,
American journal of kidney diseases : the official journal of the National Kidney Foundation,
R H Bartlett, and
J R Mault, and
R E Dechert, and
J Palmer, and
R D Swartz, and
F K Port
January 1984,
Transactions - American Society for Artificial Internal Organs,
R H Bartlett, and
J R Mault, and
R E Dechert, and
J Palmer, and
R D Swartz, and
F K Port
January 1988,
ASAIO transactions,
R H Bartlett, and
J R Mault, and
R E Dechert, and
J Palmer, and
R D Swartz, and
F K Port
October 1991,
American journal of kidney diseases : the official journal of the National Kidney Foundation,
R H Bartlett, and
J R Mault, and
R E Dechert, and
J Palmer, and
R D Swartz, and
F K Port
October 1986,
Focus on critical care,
R H Bartlett, and
J R Mault, and
R E Dechert, and
J Palmer, and
R D Swartz, and
F K Port
January 1985,
Transactions - American Society for Artificial Internal Organs,
R H Bartlett, and
J R Mault, and
R E Dechert, and
J Palmer, and
R D Swartz, and
F K Port
July 1987,
Critical care medicine,
R H Bartlett, and
J R Mault, and
R E Dechert, and
J Palmer, and
R D Swartz, and
F K Port
January 1990,
Scandinavian journal of urology and nephrology. Supplementum,
R H Bartlett, and
J R Mault, and
R E Dechert, and
J Palmer, and
R D Swartz, and
F K Port
January 1982,
Contributions to nephrology,
R H Bartlett, and
J R Mault, and
R E Dechert, and
J Palmer, and
R D Swartz, and
F K Port
January 1985,
Transactions - American Society for Artificial Internal Organs,
