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Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition) ›› 2017, Vol. 03 ›› Issue (01): 65-68. doi: 10.3877/cma.j.issn.2096-1537.2017.01.014

Special Issue: Critical care medicine

• Lectures • Previous Articles     Next Articles

Do we really not need high-volume hemofiltration?

Ruoming Tan1, Hongping Qu1,()   

  1. 1. Department of Critical Care Medicine, Rui Jin Hospital Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
  • Received:2016-12-02 Online:2017-02-28 Published:2017-02-28
  • Contact: Hongping Qu
  • About author:
    Qu Hongping, Email:

Abstract:

High-volume hemofiltration (HVHF) can improve hemodynamics, organ dysfunction and outcome through removing inflammatory factors in critically ill patients. HVHF has been one of the adjuvant therapies for systemic inflammatory response syndrome such as sepsis and septic shock. However, there is still lack of randomized clinical trial (RCT) evidence about whether HVHF can improve survival or not in critically ill patients. Therefore, clinicians should carefully interpret the results of current clinical studies and balance the benefits and harms of HVHF when selecting the mode and dose of renal replacement therapy.

Key words: High-volume hemofiltration, Systemic inflammatory response syndrome, Sepsis, Continuous renal replacement therapy

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