J Korean Soc Pediatr Nephrol.  2002 Oct;6(2):251-258.

The Experiences of Pump-driven Continuous Venovenous Hemofiltration Therapy in Pediatric Patients

Affiliations
  • 1Department of Pediatrics, University of Ulsan, College of Medicine, Asan Medical Center, Seoul, Korea.

Abstract

We report the experiences of pump-driven continuous venovenous hemofiltration therapy in three children with acute renal failure. The all three patients required mechanical ventilation and needed the support of vasopressors. Renal replacement therapy was needed to meet the metabolic and fluid balance, but intermittent hemodialysis and peritoneal dialysis were not feasible because of hemodynamic instability and concurrent infection. We instituted pump-driven continuous venovenous hemofiltration(CVVH), and immediate improvement of pulmonary edema and successful removal of retained fluid were observed. Urea clearance also was satisfactory. During the filter running time, significant thromboembolic event or rapid drop of systemic blood pressure were absent. We concluded that the CVVH is an effective and safe method of renal support for critically ill pediatric patient.

Keyword

Pump-driven continuous venovenous hemofiltration; Critically ill pediatric patient

MeSH Terms

Acute Kidney Injury
Blood Pressure
Child
Critical Illness
Hemodynamics
Hemofiltration*
Humans
Peritoneal Dialysis
Pulmonary Edema
Renal Dialysis
Renal Replacement Therapy
Respiration, Artificial
Running
Urea
Water-Electrolyte Balance
Urea
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