Treatment of combined renal failure and lactic acidosis by haemofiltration
Barton, I.K.; Hilton, P.J.; Treacher, D.F.; Bradley, R.D.
Clinical Intensive Care International Journal of Critical and Coronary Care Medicine 3(5): 196-198
1992
ISSN/ISBN: 0956-3075 PMID: 10148241 Document Number: 397323
Twelve patients with renal failure and type A lactic acidosis were treated with haemofiltration during a 30-month period. The first three patients received only lactate-buffered replacement fluid and rapidly succumbed despite the infusion of large quantities of sodium bicarbonate. Bicarbonate-buffered replacement fluid was used for the remaining nine patients, of whom three survived. Haemofiltration with bicarbonate-buffered replacement fluid is an effective method of replacing renal function for this group of critically-ill patients.