Hemofiltration and plasmapheresis in newborns using a small blood pump system.
Extracorporeal detoxification methods in newborns and premature infants are unavailable and contraindicated because of technical problems. The authors' experiences with a blood pump unit that was miniaturized for hemodialysis, hemofiltration, and plasmapheresis in newborns are reported. In 28 newborns and premature infants, 32 hemofiltrations, 3 hemodialyses, and 57 plasmaphereses were carried out for different diseases. Thirteen of 28 patients died despite hemofiltration and/or plasmapheresis as a result of their primary disease and/or immaturity, and 15 patients improved.
Bambauer
R
R
Department of Nephrology, University of Saarland, Federal Republic of Germany.
Jutzler
G A
GA
Jesberger
H J
HJ
Löffler
G
G
Limbach
H G
HG
Graf
N
N
Richter
J
J
Volkmer
I
I
D058186:Acute Kidney Injury / Q000628:therapy; D001238:Asphyxia Neonatorum / Q000628:therapy; D004899:Erythroblastosis, Fetal / Q000628:therapy; D006440:Hemofiltration / Q000295:instrumentation*; D006801:Humans; D007231:Infant, Newborn; D007235:Infant, Premature, Diseases / Q000628:therapy*; D010956:Plasmapheresis / Q000295:instrumentation*; D018805:Sepsis / Q000628:therapy