Use of Artificial Kidney in the Very Young, the Very Old, and the Very Sick

Kelemen, William A.

doi:10.1001/jama.1959.03010230028007

Cited by 20 publications

(5 citation statements)

References 3 publications

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“…Bleeding from theinsertion site wasstopped by a pursestring suture. Dressingwas done with dry gauze orgauze impregnated with povidine iodine for the older children [8][9][10][11][12][13][14][15] . We started at 20 ml/kg and observed for discomfort, cardiorespiratory changes orleakage at the catheter site.The volume was increased by 5 ml/kg/run up to a maximum of 40ml/kg in infants 12 .…”

Section: Methodsmentioning

confidence: 99%

“…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%

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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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Section: Methodsmentioning

confidence: 99%

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

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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“…Some investigators (3, 4) have offered these methods only to ideal “candidates.” For that reason, most patients treated by dialysis or renal transplantation have been in the second, third or fourth decade of life. With improvement in dialytic technics, however, the possibility of using dialysis in older people has been explored (5, 6). This report presents our experience with the management of older uremic patients by means of hemodialysis and renal transplantation.…”

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confidence: 99%

Management of Uremia in Older Patients: Hemodialysis and Renal Transplantation*

Figueroa

1968

J American Geriatrics Society

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Sixteen uremic patients aged 50 or older were treated at the Ochsner Medical Center by hemodialysis, renal transplantation, or both, during a 30-month period. Nine had acute uremia, and 7 chronic uremia. Renal function was restored in 2 of the 9 patients with acute uremia, but only I survived. The most common causes of unsuccessful results were respiratory failure due to aspiration pneumonitis and death due to complicating diseases, usually arteriosclerosis. Of the 7 patients with chronic uremia, 5 survived; 2 of these have reduced renal function but the other 3 have been completely rehabilitated by hemodialysis (at home) or renal transplantation.As a result of our experience, we advocate that hemodialysis be used in all patients with acute renal failure, regardless of age, and that hemodialysis and renal transplantation be considered in all patients with chronic renal failure, regardless of age, as long as complicating diseases do not preclude long-term survival.

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“…The application of hemodialysis for the treatment of renal failure in the older child is fairly extensive [1][2][3][4][5][6] and has been recently reviewed by Clapp et al 7 The literature contains reports of infants aged 4 months, 11\ m=1/ 2\ months,9 and 7 months10 who have been treated successfully by hemodialysis. To date only peritoneal dialysis to remove bilirubin 8 has been reported in infants under three months of age.…”

mentioning

confidence: 99%

Hemodialysis in Infantile Nephrotic Syndrome

Walker¹

1963

Am J Dis Child

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The application of hemodialysis for the treatment of renal failure in the older child is fairly extensive 1-6 and has been recently reviewed by Clapp et al.7 The literature contains reports of infants aged 4 months, 11\ m=1/ 2\ months,9 and 7 months10 who have been treated successfully by hemodialysis. To date only peritoneal dialysis to remove bilirubin 8 has been reported in infants under three months of age. The development of a control system for the oxygenation of infants by extracorporeal perfusion 11 has been modified for the hemodialysis of such small infants. This report briefly describes the successful hemodialysis of a six-week-old infant with congenital nephrosis together with data from preparatory animal experiments. Report of CaseA six-week-old female infant was admitted with a three-week history of swelling around the eyes and pitting edema in the legs.After a third-trimester toxemia the infant, weighing 3,100 gm (6\m=7/8\lb) was born at term by forceps delivery. Vomiting and irritability, pre¬ viously mild, became severe in the week preceding admission. Wheezing and cough were noted, and the edema became generalized over the face, ab¬ domen, hands and legs. Prior to admission, uri¬ nalysis revealed proteinuria, pyuria, and bacturia.Protein electrophoresis indicated hypoalbuminemia and relative hyperglobulinemia. The hemoglobin was 9.2 gm/100 ml, the ESR 19 mm/hr, the BUN 12.5 mg/100 ml, and the serum cholesterol 202 mg/ 100 ml. Abdominal paracentesis had yielded 100 ml of fluid.On admission the temperature was 37 C, pulse 120/min, respirations 50/min. She was found to be a pale, irritable dyspneic infant weighing 3,400 gm (7Vi lb). There was marked generalized edema and seepage of fluid from the paracentesis site. Inspiratory ronchi and crépitant rales were heard posteriorly over the left chest. Ascites but no visceromegaly was noted in the abdomen. Systematic review was otherwise negative.Laboratory Investigations and Course.-The hematocrit was 24% and the WBC 18,350/cu mm with 74% neutrophils. Target cells and normoblasts were seen, and the reticulocyte count was 0.8%. Urinalysis revealed 4+ proteinuria, less than three red and ten white cells per high-power field, but up to 10,000 colonies of Escherichia coli and 10,000 of paracolon bacteria were cultured. The 24-hour urine output dropped from 110 ml to 5 ml in the first four days of admission. The first blood culture grew paracolon bacteria, but repeat cultures after antibiotics were negative. Serial serum chemistries are shown in Table 1. In addition, the serum cholesterol was 275 mg/100 ml, and the blood glu¬ cose was 85 mg/100 ml. The urine osmolality on

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Use of Artificial Kidney in the Very Young, the Very Old, and the Very Sick

Cited by 20 publications

References 3 publications

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

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

Management of Uremia in Older Patients: Hemodialysis and Renal Transplantation*

Hemodialysis in Infantile Nephrotic Syndrome

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