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Over a three year period we have used haemodialysis and haemofiltration in parallel with cardiopulmonary bypass in 26 patients. Impaired renal function and excessive fluid retention have been the main indications. Patients on haemodialysis programmes for end stage renal failure did not require further dialysis until at least the third postoperative day, when they could tolerate the haemodynamic disturbance of dialysis. In the other patients these techniques proved valuable in reversing the effects of haemodilution and in controlling the concentration of serum potassium. Our experience has confirmed that haemodialysis and haemofiltration in parallel with cardiopulmonary bypass are useful adjuncts in the perioperative management of patients with impaired renal function undergoing open heart surgery. The techniques are also effective in correcting the fluid retention and biochemical imbalance in patients with congestive cardiac failure, including those with heart transplants.
M Hakim, and
D Wheeldon, and
D W Bethune, and
B B Milstein, and
T A English, and
J Wallwork
January 1990,
Perfusion,
M Hakim, and
D Wheeldon, and
D W Bethune, and
B B Milstein, and
T A English, and
J Wallwork
May 1998,
Perfusion,
M Hakim, and
D Wheeldon, and
D W Bethune, and
B B Milstein, and
T A English, and
J Wallwork
March 2009,
Scandinavian journal of immunology,
M Hakim, and
D Wheeldon, and
D W Bethune, and
B B Milstein, and
T A English, and
J Wallwork
June 1993,
The Journal of the Association of Physicians of India,
M Hakim, and
D Wheeldon, and
D W Bethune, and
B B Milstein, and
T A English, and
J Wallwork
September 1994,
The Journal of the Association of Physicians of India,
M Hakim, and
D Wheeldon, and
D W Bethune, and
B B Milstein, and
T A English, and
J Wallwork
March 1994,
Perfusion,
M Hakim, and
D Wheeldon, and
D W Bethune, and
B B Milstein, and
T A English, and
J Wallwork
January 1984,
Contributions to nephrology,
M Hakim, and
D Wheeldon, and
D W Bethune, and
B B Milstein, and
T A English, and
J Wallwork
December 2003,
Interactive cardiovascular and thoracic surgery,
M Hakim, and
D Wheeldon, and
D W Bethune, and
B B Milstein, and
T A English, and
J Wallwork
January 1985,
Proceedings of the European Dialysis and Transplant Association - European Renal Association. European Dialysis and Transplant Association - European Renal Association. Congress,
M Hakim, and
D Wheeldon, and
D W Bethune, and
B B Milstein, and
T A English, and
J Wallwork
January 1989,
Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association,
