The current state of nonuremic applications for extracorporeal blood purification.
Despite the commonly accepted indications for hemodialysis and extracorporeal depuritive techniques, some clinicians have come to rely on blood purification for clinical states where the targeted substance for removal differs from uremic waste products. Over the last decade, a number of studies have emerged to help define the application of extracorporeal blood purification (ECBP) to these "nonuremic" indications. This review describes the application of extracorporeal blood purification in clinical states including sepsis, rhabdomyolysis, congestive heart failure, hepatic failure, tumor lysis syndrome, adult respiratory distress syndrome, intravenous contrast exposure, and lactic acidosis. Additional comments are provided to review existing literature on thermoregulation and osmoregulation, including acute brain injury.
Briglia
Andrew E
AE
Department of Medicine, Division of Nephrology, University of Maryland, Baltimore, Maryland 21201, USA. abriglia@medicine.umaryland.edu
D000140:Acidosis, Lactic / Q000503:physiopathology / Q000628:therapy; D001833:Body Temperature Regulation; D002315:Cardiopulmonary Bypass; D006333:Heart Failure / Q000503:physiopathology / Q000628:therapy; D006801:Humans; D017093:Liver Failure / Q000503:physiopathology / Q000628:therapy; D006435:Renal Dialysis / Q000639:trends*; D051437:Renal Insufficiency / Q000503:physiopathology / Q000628:therapy; D012206:Rhabdomyolysis / Q000503:physiopathology / Q000628:therapy; D018805:Sepsis / Q000503:physiopathology / Q000628:therapy; D015275:Tumor Lysis Syndrome / Q000503:physiopathology / Q000628:therapy; D014511:Uremia / Q000503:physiopathology* / Q000628:therapy*; D014882:Water-Electrolyte Balance