Hemodialysis in children

Carter, Frank H.; Aoyama, Shigeto; Mercer, Robert D.; Kolff, Willem J.

doi:10.1016/s0022-3476(57)80169-3

Cited by 26 publications

(6 citation statements)

References 5 publications

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“…In 1957, the same author described the advances in the equipment developed until then and mentioned the indications for using the artificial kidney, including AKI secondary to shock. The use of HD in children required more time to be implemented due to persistent difficulties, such as the small vessel size in pediatric patients and the need for large volumes to fill the extracorporeal circuit 14. In 1957, the first report of HD cases in children was published, describing clinical improvement and greater ease in conservative management after its use in 5 five children from 2 to 14 years of age 14.…”

Section: Introductionmentioning

confidence: 99%

Acute Kidney Injury Epidemiology in pediatrics

et al. 2019

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We performed a search in the MEDLINE database using the MeSH term: "Acute Kidney Injury", selecting the subtopic "Epidemiology", and applying age and year of publication filters. We also searched for the terms: "acute renal failure" and "epidemiology" "acute tubular necrosis" and "epidemiology" in the title and summary fields with the same filters. In a second search, we searched in the LILACS database, with the terms: "acute renal injury", or "acute renal failure" or "acute kidney injury" and the age filter. All abstracts were evaluated by the authors and the articles considered most relevant, were examined in their entirety. Acute Kidney Injury (AKI) -related mortality ranged from 3-63% in the studies included in this review. AKI etiology has marked regional differences, with sepsis being the main cause in developed countries. In developing countries, primary renal diseases and hypovolemia are still a common cause of AKI.

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Section: Introductionmentioning

confidence: 99%

Acute Kidney Injury Epidemiology in pediatrics

et al. 2019

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“…As early as the 1950s, there was a succession of articles focusing on hemodialysis in children. 16 However, the studies were mainly in the early postoperative period with incompletely restored cardiac function, unstable hemodynamics, poor vascular access, limited fluid volume, and poorly controlled ultrafiltration in hemodialysis. Hemodialysis necessitates continuous anticoagulation that is not beneficial for hemostasis in early postoperative wounds.…”

Section: Discussionmentioning

confidence: 99%

Use of a Simply Modified Drainage Catheter for Peritoneal Dialysis Treatment of Acute Renal Failure Associated With Cardiac Surgery in Infants

Chen

Cao

et al. 2014

Medicine

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Acute renal failure (ARF) is a common complication in infants who undergo cardiac surgery in the intensive care unit. We report on a modified drainage catheter used in peritoneal dialysis (PD) for the treatment of ARF associated with cardiac surgery in infants.Thirty-nine infants with congenital heart disease undergoing cardiac surgery who developed ARF at our center between January 2009 and January 2012 were assessed. A modified drainage catheter for PD was used in these infants. Their demographic, clinical, and surgical data were analyzed.Thirty infants with ARF were cured by PD, and the other 9 died in the first 48 hours because of the severity of the acute cardiac dysfunction. All these infants were dependent upon mechanical ventilation during the postoperative period and used vasoactive drugs. In the survival group, the interval between the procedure and initiation of PD was 13.6 ± 6.5 (range, 6–30) hours. PD duration was 3.9 ± 0.9 (3–6) days. Minor complications were encountered in some patients (asymptomatic hypokalemia, hyperglycemia, and thrombocytopenia). These complications were readily treated by drugs or resolved spontaneously. Hemodynamics, cardiac function, and renal function improved significantly during PD.These data suggest that PD using a modified drainage catheter for ARF after cardiac surgery in infants is safe, feasible, inexpensive, and yields good results.

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“…Freedom from needle punctures, reduced dietary and fluid restrictions, and decreased risk of disequilibrium syndrome were recognized as potential benefits of choosing PD as one's dialysis modality. The first reported use of CAPD in a child was in Toronto in 1978 6,7,8,9,10,12 PD dialysis fluid is made up of a glucose solution, different concentrations of glucose are provided in order to help with the removal of excess fluid in the blood. The fluid in the blood is pulled across the peritoneal membrane to 'dilute' the glucose using the process called osmosis.…”

Section: Case No Age Initial Parameters Diagnosis Duration Of Pd Compmentioning

confidence: 99%

“…Indications for PD are fluid overload as in Pulmonary edema, Congestive cardiac failure, Refractory hypertension, Hindrance to adequate nutrition,Oliguria following recent heart surgery, Oliguria during ECMO; Symptomatic electrolyte/acid-base imbalances as in Hyperkalaemia (K+ >7.0), Hypo-or hypernatraemia, Acidosis (pH<7.2: or <7.3 withhyperkalaemia), toxins such as Ureamia (puritus, pleuritis, pericarditis, CNS symptoms),Hyperuricemia, Exogenous toxins: lithium, salicylate, ethanol, methanol, bromide, ethylene glycol, aminoglycosides.Haemodiaysis (HD) is the therapy of choice for rapid treatment of dialyzable poisonings4,5,6,7 and Inborn errors of metabolism with encephalopathy and Hyperammonemia.In our series, 5 were hypernatremia, 4 were CRF due to obstructive uropathy and 1 was ARF due to Haemolytic-Ureamic syndrome Contraindicationsof PD are abdominal wall defects of infection, bowel distension, perforation, adhesion or resection andCommunication between the chest and abdominal cavities.…”

mentioning

confidence: 99%

Outcome of Peritoneal Dialysis in Children : Experience in a Tertiary Level Hospital in Chittagong, Bangladesh

Hossain

Badruddoza

Hoque

2013

Chatt Maa Shi Hosp Med Coll J

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Objective:The objective of the study is to see the outcome of peritoneal dialysis in child age group ranging from 6 months to 15 yearsadmitted in ChattagramMaa-Shishu-O-General Hospital ICU setup. Methods: Patients were selected randomly who admitted with the indication of renal replacement therapy.Intermittent peritoneal dialysis was done in 10 patients from February 2012 to January 2013. Results: Out of ten patients eight survived and two died due to complication.The success rate is 80%.Among the survivors four made complete recovery with no complication and another fourwere sent to paediatric surgery for treatment of obstructive uropathy, the primary cause of the renal failure. Conclusion: The data presented indicate that peritoneal dialysis is an effective type of dialysis, that it is safe, that it can be accomplished with a minimum of equipment and that a trained team is essential for its efficient use. It is the preferable practical procedure currently available by which dialysis of an anuric infant or small child can be accomplished.

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Hemodialysis in children

Cited by 26 publications

References 5 publications

Acute Kidney Injury Epidemiology in pediatrics

Acute Kidney Injury Epidemiology in pediatrics

Use of a Simply Modified Drainage Catheter for Peritoneal Dialysis Treatment of Acute Renal Failure Associated With Cardiac Surgery in Infants

Outcome of Peritoneal Dialysis in Children : Experience in a Tertiary Level Hospital in Chittagong, Bangladesh

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