Subject(s)
Renal Dialysis/adverse effects , Thrombocytopenia/etiology , Blood Cell Count , Blood Platelets , Female , Humans , Male , Renal Dialysis/methodsABSTRACT
We have in vitro and in vivo tested the new Gambro Lundia Mini-Minor pediatric dialyzer with the 17 micron membrane. By utilizing blood tubing sets of different volumes in conjunction with the Lundia Mini-Minor we feel that this dialyzer is well suited to use in pediatric patients weighing less than 16-23 kg. During the last 4 years, with the development of improved equipment and techniques, it has become increasingly easier to hemodialyze children and infants with end-stage and acute renal failure [1,2]. We have previously reported our experience with hemodialyzers designed especially for children and babies [1-5, 13, 14]. This report concerns our experience with a new disposable pediatric hemodialyzer, the Lundia Mini-Minor, which has been designed for the smaller pediatric patient weighing less than 16 kg.
Subject(s)
Kidneys, Artificial/instrumentation , Renal Dialysis/methods , Age Factors , Child , Child, Preschool , Humans , Infant , Infant, NewbornABSTRACT
Two and three Dow Cordis Hollow Fiber and Gambro Lundia artificial kidneys were used for high efficiency dialysis in large patients, intoxications, and for rapid ultrafiltration. BUN clearances of up to 240 ml/min were achieved. One episode of severe neuropathy occurred during high efficiency dialysis, and hypotensive episodes were more common. High efficiency dialysis has certain indications particularly in intoxication cases. However, because of possible side effects more experience is needed before its ultimate place in the treatment of uremia can be ascertained.
