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 Posted: Wed Nov 26, 2008 1:16 am Post subject: Bloodletting Prolongs Breathing |
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"All patients receiving phlebotomy survived to hospital discharge."
Phlebotomy for pulmonary edema in dialysis patients
EISER A. R. ; LIEBER J. J. ; NEFF M. S. ;
Departments of Ambulatory Care and Medicine, Elmhurst Hospital Center
and the Mt. Sinai School of Medicine of the City University of New
York, ETATS-UNIS
Abstract
Study objective:
To assess the efficacy of phlebotomy in the treatment of pulmonary
edema in hemodialysis patients.
Procedure:
Maintenance hemodialysis patients presenting to the emergency room in
respiratory distress from apparent pulmonary edema were assessed with
regard to clinical response, change in blood pressure, change in
hematocrit, and interval until the next hemodialysis treatment.
Results:
Twenty-one patients underwent phlebotomy and seventeen improved
markedly and did not require intubation or emergent dialysis.
Hemodialysis was initiated 15.6 ± 13.6 SD hours later. Four were able
to have their treatment 24 or more hours later. Thirteen of 21 (62%)
were hypertensive at the time of treatment and blood pressure tended
to normalize in this subset. Four of 21 (19%) developed transient
hypotension without permanent sequelae. Pre-mean hematocrit = 25.0 +
6.0 and post phlebotomy = 22.6 + 4.6 SD. All patients receiving
phlebotomy survived to hospital discharge.
Conclusion:
Phlebotomy can often obviate the need for intubation or emergent
dialysis in ESRD patients presenting with pulmonary edema.
Revue / Journal Title
Clinical nephrology ISSN 0301-0430 CODEN CLNHBI
Source / Source
1997, vol. 47, no1, pp. 47-49 (10 ref.)
Langue / Language
Anglais
Editeur / Publisher
Dustri, München-Deisenhofen, ALLEMAGNE (1973) (Revue)
Mots-clés anglais / English Keywords
Edema ; Acute ; Lung ; Hemodialysis ; Human ; Treatment efficiency ;
Phlebotomy ; Concomitant disease ; Renal failure ; Chronic ;
Respiratory disease ; Lung disease ; Extrarenal dialysis ; Urinary
system disease ; Kidney disease ;
Mots-clés français / French Keywords
Oedème ; Aigu ; Poumon ; Hémodialyse ; Homme ; Efficacité traitement ;
Phlébotomie ; Association morbide ; Insuffisance rénale ; Chronique ;
Appareil respiratoire pathologie ; Poumon pathologie ; Epuration
extrarénale ; Appareil urinaire pathologie ; Rein pathologie ;
Mots-clés espagnols / Spanish Keywords
Edema ; Agudo ; Pulmón ; Hemodiálisis ; Hombre ; Eficacia
tratamiento ; Flebotomía ; Asociación morbosa ; Insuficiencia renal ;
Crónico ; Aparato respiratorio patología ; Pulmón patología ;
Depuración extrarrenal ; Aparato urinario patología ; Riñón
patología ;
Localisation / Location
INIST-CNRS, Cote INIST : 16768, 35400006139365.0090
Copyright 2008 INIST-CNRS. All rights reserved
Toute reproduction ou diffusion même partielle, par quelque procédé ou
sur tout support que ce soit, ne pourra être faite sans l>accord
préalable écrit de l>INIST-CNRS.
No part of these records may be reproduced of distributed, in any form
or by any means, without the prior written permission of INIST-CNRS.
Nº notice refdoc (ud4) : 2535761
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