Isolated ultrafiltration in the therapy of volume overload accompanying oliguric vascular shock states.
Isolated ultrafiltration (removal of plasma water and solute without dialysis) was used as a "last resort" therapy in three patients with diuretic and pressor resistant oliguria complicating severe volume overload and vascular shock. The improvement in clinical and hemodynamic parameters is reported and the possible mechanisms of action (decreased pulmonary capillary wedge pressure and increased colloid osmotic pressure) are discussed.
D001002:Anuria / Q000150:complications*; D001794:Blood Pressure; D002199:Capillary Permeability; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009846:Oliguria / Q000150:complications*; D009997:Osmotic Pressure; D011654:Pulmonary Edema / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D006435:Renal Dialysis / Q000379:methods*; D012769:Shock / Q000150:complications; D014462:Ultrafiltration