[Continuous arteriovenous hemofiltration and hemodiafiltration in a newborn infant with acute kidney insufficiency].
A boy of 10 days old with acute renal failure was treated with continuous arterio-venous hemofiltration and continuous arterio-venous hemodiafiltration over a period of 14 days. Hemodynamically both technics were well tolerated. Fluid overload was treated effectively by continuous fluid withdrawal and during continuous arterio-venous hemodiafiltration there was an adequate solute removal. One bleeding episode was observed during controlled general heparinization and was probably related to thrombopenia. In conclusion, continuous arterio-venous hemofiltration and hemodiafiltration are efficient modes of treatment in hemodynamically unstable infants in whom other forms of conventional dialytic therapy are contraindicated. Only continuous arterio-venous hemodiafiltration offers both fluid withdrawal and adequate solute removal and consequently may be preferred to continuous arterio-venous hemofiltration.
Berghuis
M
M
Algemene Intensive Care afd., Universiteitskliniek voor Kinderen en Jeugdigen, Het Wilhelmina Kinderziekenhuis, Utrecht.
Donckerwolcke
R A
RA
Van Vught
A J
AJ
D058186:Acute Kidney Injury / Q000209:etiology / Q000382:microbiology / Q000628:therapy*; D001017:Aortic Coarctation / Q000150:complications; D013293:Enterococcus faecalis; D006345:Heart Septal Defects, Ventricular / Q000150:complications; D006440:Hemofiltration / Q000379:methods*; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D013290:Streptococcal Infections / Q000150:complications* / Q000382:microbiology
Continue arterioveneuze hemofiltratie en hemodiafiltratie bij een pasgeborene met acute nierinsufficiëntie.