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Continuous renal replacement therapy in children with multiple organ dysfunction syndrome: A case series
Zhang, Yan-lin; Hu, Wei-ping; Zhou, Ling-hui; Wang, Yin; Cheng, Ao; Shao, Si-nan; Hong, Ling-ling; Chen, Qiu-yue.
  • Zhang, Yan-lin; Xiamen University. The First Affiliated Hospital of Xiamen University. Department of Nephrology. Xiamen. CN
  • Hu, Wei-ping; Xiamen University. The First Affiliated Hospital of Xiamen University. Department of Nephrology. Xiamen. CN
  • Zhou, Ling-hui; Xiamen University. The First Affiliated Hospital of Xiamen University. Department of Nephrology. Xiamen. CN
  • Wang, Yin; Xiamen University. The First Affiliated Hospital of Xiamen University. Department of Nephrology. Xiamen. CN
  • Cheng, Ao; Xiamen University. The First Affiliated Hospital of Xiamen University. Department of Nephrology. Xiamen. CN
  • Shao, Si-nan; Xiamen University. The First Affiliated Hospital of Xiamen University. Department of Nephrology. Xiamen. CN
  • Hong, Ling-ling; Xiamen University. The First Affiliated Hospital of Xiamen University. Department of Nephrology. Xiamen. CN
  • Chen, Qiu-yue; Xiamen University. The First Affiliated Hospital of Xiamen University. Department of Nephrology. Xiamen. CN
Int. braz. j. urol ; 40(6): 846-852, Nov-Dec/2014. tab
Artículo en Inglés | LILACS | ID: lil-735980
ABSTRACT
There is a lack of definitive information regarding the precise indications, implementation, and outcomes of continuous renal replacement therapy (CRRT) for the treatment of critically ill children. Six children (three boys, three girls) aged from 3 days to 8 years, all of whom had multiple organ failure, were submitted to bedside CRRT using M60 filter membranes. Modified Port carbonate formula was used and clotting time was maintained between 20 and 30 minutes. Activated partial thromboplastin time was 1.5- to 2-fold normal. One patient discontinued treatment due to family decision. Marked improvements were seen in the remaining five patients, including normalization of blood urea nitrogen and creatinine levels, stabilization of electrolytes, and improvements in markers of organ function. Of note, one patient (a six-year-old male) underwent the treatment for 241 hours. All five patients were subsequently discharged and recovered uneventfully. CRRT is effective for the management of children who are critically ill due to multiple organ failure.
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Texto completo: Disponible Índice: LILACS (Américas) Asunto principal: Terapia de Reemplazo Renal / Insuficiencia Multiorgánica Tipo de estudio: Estudio pronóstico Límite: Niño / Child, preschool / Femenino / Humanos / Lactante / Masculino / Recién Nacido Idioma: Inglés Revista: Int. braz. j. urol Asunto de la revista: Urología Año: 2014 Tipo del documento: Artículo País de afiliación: China Institución/País de afiliación: Xiamen University/CN

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Texto completo: Disponible Índice: LILACS (Américas) Asunto principal: Terapia de Reemplazo Renal / Insuficiencia Multiorgánica Tipo de estudio: Estudio pronóstico Límite: Niño / Child, preschool / Femenino / Humanos / Lactante / Masculino / Recién Nacido Idioma: Inglés Revista: Int. braz. j. urol Asunto de la revista: Urología Año: 2014 Tipo del documento: Artículo País de afiliación: China Institución/País de afiliación: Xiamen University/CN