Effects of continuous haemofiltration vs intermittent haemodialysis on systemic haemodynamics and splanchnic regional perfusion in septic shock patients: a prospective, randomized clinical trial
Author(s) -
Stefan John,
Daniela Griesbach,
Mathias Baumgärtel,
H. Weihprecht,
Roland E. Schmieder,
Helmut Geiger
Publication year - 2001
Publication title -
nephrology dialysis transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.654
H-Index - 168
eISSN - 1460-2385
pISSN - 0931-0509
DOI - 10.1093/ndt/16.2.320
Subject(s) - medicine , splanchnic , septic shock , splanchnic circulation , shock (circulatory) , perfusion , hemodynamics , hemofiltration , prospective cohort study , randomized controlled trial , intensive care , intensive care medicine , anesthesia , hemodialysis , sepsis , surgery , cardiology
Parameters of splanchnic regional perfusion, like intramucosal pH (pHi) and pCO(2) (pCO(2)i), may predict outcome in septic shock patients. Continuous venovenous haemofiltration (CVVH) has been considered beneficial in haemodynamically unstable septic shock patients. In a prospective, randomized, clinical study, we investigated whether CVVH, in comparison to intermittent haemodialysis (IHD), is able to improve splanchnic regional perfusion in critically ill patients.
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