Emergency dialysis in neonatal metabolic crises

Daschner, Markus; Schaefer, Franz

doi:10.1053/jarr.2002.31433

Cited by 9 publications

(3 citation statements)

References 29 publications

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“…Treatment of our patients frequently included extracorporeal removal therapy, especially if they had endogenous intoxication (50%). This finding is similar to other series published (30% or more) 8,14,15 . The most frequent technique used was veno‐venous eodiafiltration, which has proved efficacy.…”

Section: Discussionsupporting

confidence: 91%

Inborn errors of metabolism in a neonatology unit: Impact and long‐term results

Couce¹,

Bana²,

Bóveda³

et al. 2011

Pediatrics International

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Section: Discussionsupporting

confidence: 91%

Inborn errors of metabolism in a neonatology unit: Impact and long‐term results

Couce¹,

Bana²,

Bóveda³

et al. 2011

Pediatrics International

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“…Acute PD can be performed in units with no HD expertise and is effective in children of all ages, including neonates [15, 16, 17, 18]. PD has been used in treating acute pancreatitis, tumor lysis syndrome, intoxications, metabolic diseases, and other pathological conditions in children [19, 20, 21, 22]. The choice of PD as therapy has always to be individualized, balancing advantages against disadvantages.…”

Section: Choice Of Therapymentioning

confidence: 99%

Renal replacement therapy for acute renal failure in children: European Guidelines

2003

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Acute renal failure (ARF) is uncommon in childhood and there is little consensus on the appropriate treatment modality when renal replacement therapy is required. Members of the European Pediatric Peritoneal Dialysis Working Group have produced the following guidelines in collaboration with nursing staff. Good practice requires early discussion of patients with ARF with pediatric nephrology staff and transfer for investigation and management in those with rapidly deteriorating renal function. Patients with ARF as part of multiorgan failure will be cared for in pediatric intensive care units where there should be access to pediatric nephrology support and advice. The choice of dialysis therapy will therefore depend upon the clinical circumstances, location of the patient, and expertise available. Peritoneal dialysis has generally been the preferred therapy for isolated failure of the kidney and is universally available. Intermittent hemodialysis is frequently used in renal units where nursing expertise is available and hemofiltration is increasingly employed in the intensive care situation. Practical guidelines for and the complications of each therapy are discussed.

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“…[1][2][3] It is also useful in treating acute haemorrhagic pancreatitis, hypothermia, or tumour lysis syndrome. [1][2][3][4] APD is the preferred treatment for isolated failure of the kidney in children of all ages including neonates. 3 5-10 It is easier to perform, cheaper, and requires less sophisticated equipment than haemodialysis.…”

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confidence: 99%

Paediatric acute peritoneal dialysis in southern Nigeria

Anochie

Eke

2006

Postgraduate Medical Journal

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Background Acute peritoneal dialysis (APD) is the preferred treatment for isolated failure of the kidney. The authors reviewed children with acute renal failure (ARF) who had APD in Port Harcourt, Nigeria. Results 221 patients, 147 boys and 74 girls (M: F, 1.99:1), mean (SD) age 5.4 (4.9) years had ARF. Dialysis was indicated in 112 cases. The main clinical indication being convulsion/uraemia 30 (26.8%) Only 27 patients (21 boys and 6 girls) had APD, giving an access rate of 24.1%. The commonest dialysis related complication was catheter malfunction 12 (44.4%). The mortality rate among the dialysed patients was 22.2%. Lack of dialysis and intractable hypertension significantly increased mortality (χ2 = 7.13, p<0.01) and (χ2 = 14.9, p<0.001) respectively. Conclusion APD is effective in reducing mortality of children with ARF. However, there were low dialysis access rate and few complications.

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Emergency dialysis in neonatal metabolic crises

Cited by 9 publications

References 29 publications

Inborn errors of metabolism in a neonatology unit: Impact and long‐term results

Inborn errors of metabolism in a neonatology unit: Impact and long‐term results

Renal replacement therapy for acute renal failure in children: European Guidelines

Paediatric acute peritoneal dialysis in southern Nigeria

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