JTuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Brachio-cephalic ('Gracz') fistula use for continuous hemofiltration in a hemodynamically unstable hemodialysis patient without venous vascular access: a case report. | Journal of Medical Case Reports BioMed Central Open Access Case report Brachio-cephalic Gracz fistula use for continuous hemofiltration in a hemodynamically unstable hemodialysis patient without venous vascular access a case report Peter E Spronk 1 2 4 Jos NM Barendregt3 Guus Crooijmans3 Yolande M Vermeeren3 and Johannes H Rommes1 Address Department of Intensive Care Medicine Gelre Hospitals Apeldoorn The Netherlands 2Department of Intensive Care Medicine Academic Medical Center Amsterdam The Netherlands 3Department of Internal Medicine Gelre Hospitals Apeldoorn The Netherlands and 4Hermes critical care group Amsterdam The Netherlands Email Peter E Spronk - Jos NM Barendregt - Guus Crooijmans - Yolande M Vermeeren - Johannes H Rommes - Corresponding author Published 30 June 2007 Received 3 April 2007 Journal of Medical Case Reports 2007 1 39 doi 1752-1947-1-39 Accepted 30 June 2007 This article is available from http content 1 1 39 2007 Spronk et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract_ Even in patients with chronic renal failure and chronic intermittent hemodialysis continuous venovenous hemofiltration CVVH is the most often practiced renal replacement technique in the intensive care unit. Although patients show less hemodynamic instability during CVVH than during hemodialysis it requires a blood flow exceeding 200 ml min in the extracorporeal circuit necessitating the use of large bore catheters. Vascular access in critically ill septic and edematous patients is sometimes difficult or .
