In tandem extracorporeal therapies during hemodialysis in pediatric patients.
We describe the successful treatment of a pediatric transplant patient with simultaneous intermittent hemodialysis and therapeutic plasma exchange (TPE). The patient presented with kidney graft failure. He had life threatening electrolyte disturbances and fluid overload due to antibody-mediated rejection. Therefore, he was in need of both emergent kidney replacement therapy and TPE. Both extracorporeal circuits were set up, established, and maintained safely and effectively without difficulty or alarms. Running intermittent hemodialysis and TPE simultaneously significantly reduced therapy time, allowed both needed therapies priority, and provided a superior pediatric patient experience in an acute situation.
Dialysis/Infusion/Pheresis Unit, St. Louis Children's Hospital, One Children's Place, St. Louis, Missouri, 63110, USA. aem3055@bjc.org.
Amy E
AE
McAlister
Dialysis/Infusion/Pheresis Unit, St. Louis Children's Hospital, One Children's Place, St. Louis, Missouri, 63110, USA.
Kira
K
Geile
Washington University Department of Pediatrics, Division of Nephrology, 660 S. Euclid Ave., MS 8116, St. Louis, Missouri, 63110, USA.
Carmen M
CM
Halabi
Washington University Department of Pediatrics, Division of Nephrology, 660 S. Euclid Ave., MS 8116, St. Louis, Missouri, 63110, USA. davis_tk@kids.wustl.edu.
T Keefe
TK
Davis
Pediatric; extracorporeal circuits; hemodialysis; plasma exchange