- Joined
- Nov 30, 2004
- Messages
- 836
HD is done intermittently. CVVHD is done in hospital on hemodynamically unstable patients. The C stands for continuous thus you wouldn't do it 3x a week. Mean survival without transplant on HD is about 5 years. With transplant it is much longer. GVHD is not a sure thing by any stretch.
Your post is obviously educated but contains some inaccuracies
What is this hypothesis based on?
Damn, you got me. Us ICU junkies think and work faster than most of our counterparts in controlled chaos settings that we tend to manage critically ill and hemodyamically unstable ESRD pts w/severe acid/base +/- electrolyte abnormalities, etc w/emergent placement of a double-lumen CVC for CVVHD until the pt stabilizes or completely crashes. Then we discuss if the pt prefers outpatient IHD or PD and vascular access via AVF or AVG. Would you like me to explain the importance of Kt/V in HD as well?
Also, don't know how many post-renal transplant pts you've managed but the mean survival is ~5 yrs based on experience. I'm quite certain that the studies published in the NEJM, MCP, AJN, AJM, etc will likely conclude a different and higher mean survival time for post-renal transplant pts given their significantly larger number of study subjects.