[Heart surgery in terminal kidney failure and dialysis dependent patients. Intraoperative hemofiltration for the prevention of hyperhydration].
12 hemodialysis-dependent patients underwent heart surgery involving cardiopulmonary bypass. Their example outlines the special pre-, intra- and postoperative management in these patients. Intraoperative hemofiltration seems appropriate to prevent fluid overload caused by cardiopulmonary bypass. 3 patients died within the first two weeks after operation. 9 patients are well after 4 to 30 months. The results are compared to the reports found in the literature.
Schmidt
R
R
Chirurgischen Klinik und Poliklinik, Freien Universität Berlin.
Weidemann
H
H
Weihermüller
K
K
Bücherl
E S
ES
D000328:Adult; D000368:Aged; D001810:Blood Volume; D002315:Cardiopulmonary Bypass; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000601:surgery*; D005260:Female; D006440:Hemofiltration; D006801:Humans; D007431:Intraoperative Complications / Q000503:physiopathology / Q000517:prevention & control*; D007668:Kidney / Q000503:physiopathology; D007676:Kidney Failure, Chronic / Q000503:physiopathology*; D008297:Male; D008875:Middle Aged; D006435:Renal Dialysis; D014882:Water-Electrolyte Balance
Herzchirurgie bei terminal niereninsuffizienten und dialysepflichtigen Patienten. Intraoperative Hämofiltration zur Vorbeugung einer Hyperhydratation.