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Isolated Ultrafiltration in the Treatment of Fluid Overload in Cardiogenic Shock
Robert E. Gerhardt, MD;
Abdulla M. Abdulla, MD;
Sandra J. Mach, RN;
James B. Hudson, MD
Arch Intern Med. 1979;139(3):358-359.
Abstract
Dramatic improvement in measured hemodynamic values, arterial blood gas values, and renal function was quickly achieved by the use of isolated ultrafiltration in a patient with cardiogenic shock refractory to medical management. Swift venous access was obtained by femoral catheterization, and the rapid removal of 3,500 mL of ultrafiltrate was well tolerated. This technique may afford another mode of therapy in patients with refractory cardiogenic shock associated with severe volume overload.
(Arch Intern Med 139:358-359, 1979)
Author Affiliations
From the Nephrology (Drs Gerhardt and Hudson and Ms Mach) and Cardiology (Dr Abdulla) Sections, Department of Medicine, Medical College of Georgia, Augusta. Dr Gerhardt is now with the Department of Medicine, Renal Electrolyte Section, University of Pennsylvania School of Medicine, Pennsylvania Hospital, Philadelphia.
Footnotes
Accepted for publication Sept 12, 1978.
Reprint requests to Nephrology Section, BA-N645, Medical College of Georgia, Augusta, GA 30901 (Dr Hudson).
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