Successful use of continuous veno-venous haemofiltration to treat profound fluid retention in severe peripartum cardiomyopathy.
The use of continuous veno-venous haemofiltration after failure of conventional treatment in a patient with severe peripartum cardiomyopathy is described. Treatment with inotropes and diuretics failed to produce a diuresis despite the presence of severe fluid overload. Haemofiltration over a 9-day period allowed removal of 171 of fluid with a concomitant improvement in haemodynamic function and a spontaneous diuresis.
Beards
S C
SC
Baragwanath Hospital Intensive Care Unit, Department of Anaesthesia, University of Witwatersrand, Johannesburg, South Africa.
Freebairn
R C
RC
Lipman
J
J
D000328:Adult; D002311:Cardiomyopathy, Dilated / Q000628:therapy*; D003422:Critical Care; D005260:Female; D006440:Hemofiltration; D006801:Humans; D011247:Pregnancy; D011644:Puerperal Disorders / Q000628:therapy*; D014883:Water-Electrolyte Imbalance / Q000628:therapy*