Early Continuous Venovenous Hemodiafiltration in Preventing Permanent Kidney Injury in Severe Rhabdomyolysis
Abdelghani, R.; Jones, S.
Journal of the Louisiana State Medical Society Official Organ of the Louisiana State Medical Society 167(3): 150
2015
ISSN/ISBN: 0024-6921 PMID: 27159469 Document Number: 680135
Acute kidney injury (AKI) associated with increased pigment load in rhabdomyolysis can often lead to irreversible kidney damage. Traditional means of pigment removal are often insufficient. Recent trends have shown the use of continuous venovenous hemodiafiltration (CVVHDF) with a high-flux dialyzer in severe cases of rhabdomyolysis can lessen these irreversible effects. However, the optimal timing of CVVHDF initiation, as well as its efficacy, is still controversial. We present a case of severe rhabdomyolysis admitted to our ICU where early CVVHDF decreased irreversible kidney injury in the patient.