Management of patients with renal failure complicated by cerebral oedema.
Dialysis disequilibrium due to cerebral oedema still causes a significant degree of both morbidity and mortality. We discuss the management of 5 such cases and demonstrate the improved stability during treatment with continuous veno-venous haemofiltration. This may be due to the improved osmotic stability during haemofiltration with a resultant decrease in the osmotic gradient across the blood-brain barrier.
Regional Renal Unit, Royal Liverpool Hospital, UK.
A
A
Davenport
R
R
Finn
H J
HJ
Goldsmith
D000328:Adult; D001929:Brain Edema / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D006435:Renal Dialysis / Q000009:adverse effects; D014057:Tomography, X-Ray Computed