title: Use of Renal Replacement Therapy in a Neonatal Foal with Postresuscitation Acute Renal Failure.
abstract: A newborn foal was presented because it was unresponsive and in cardiopulmonary arrest. Aggressive cardiopulmonary cerebral resuscitation was administered to the foal, which revived the foal; however, acute renal failure developed. Fluid retention and azotemia occurred although the foal was alert and able to suckle. A 6-hour renal replacement therapy session using hemodiafiltration and a continuous renal replacement therapy machine was administered to the foal at 3 days of age which lowered the foal's azotemia and facilitated removal of some of the excess body fluid. Despite therapy, the foal developed pulmonary edema and was euthanized. Although the foal in this case did not survive, this report highlights the possibility of developing postresuscitation complications such as acute renal failure and describes the use of renal replacement therapy using hemodiafiltration as a viable option in neonatal foals with acute kidney injury.
authors.affiliation: Section of Equine Medicine, Department of Veterinary Clinical Sciences, Lloyd Veterinary Medical Center, Iowa State University, Ames, IA.
authors.forename: D M
authors.initials: DM
authors.lastname: Wong
authors.affiliation: Section of Equine Medicine, Department of Veterinary Clinical Sciences, Lloyd Veterinary Medical Center, Iowa State University, Ames, IA.
authors.forename: R E
authors.initials: RE
authors.lastname: Ruby
authors.affiliation: ACCESS Specialty Animal Hospitals, Department of Internal Medicine, Nephrology and Dialysis, Culver City, CA.
authors.forename: A
authors.initials: A
authors.lastname: Eatroff
authors.affiliation: Department of Veterinary Pathology, College of Veterinary Medicine, Iowa State University, Ames, IA.
authors.forename: M J
authors.initials: MJ
authors.lastname: Yaeger
mesh_terms: D058186:Acute Kidney Injury / Q000209:etiology / Q000628:therapy / Q000662:veterinary*; D000818:Animals; D000831:Animals, Newborn; D016887:Cardiopulmonary Resuscitation / Q000009:adverse effects / Q000662:veterinary*; D005260:Female; D017583:Hemodiafiltration / Q000662:veterinary; D006734:Horse Diseases / Q000209:etiology / Q000628:therapy*; D006736:Horses; D017582:Renal Replacement Therapy / Q000662:veterinary*
keywords: Cardiac arrest; Cardiopulmonary resuscitation; Continuous renal replacement therapy; Hemodialysis