Continuous Renal Replacement Therapy in Infants and Neonates.
- Author:
Seong Heon KIM
1
;
Jae Il SHIN
Author Information
1. Department of Pediatrics, Pusan National University Children's Hospital, Pusan National School of Medicine, Yangsan, Korea.
- Publication Type:Review
- Keywords:
Continuous renal replacement therapy (CRRT);
Neonate and Infant
- MeSH:
Acute Kidney Injury;
Child;
Critical Illness;
Dialysis;
Extracorporeal Membrane Oxygenation;
Hemorrhage;
Humans;
Hyperammonemia;
Infant*;
Infant, Newborn*;
Renal Replacement Therapy*
- From:Journal of the Korean Society of Pediatric Nephrology
2014;18(1):13-17
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Continuous renal replacement therapy (CRRT) has become the preferred dialysis modality to support critically ill children with acute kidney injury. As CRRT technology and clinical practice advances, experiences using CRRT on small infants and neonates have increased. In neonates with hyperammonemia or acute kidney injury during extracorporeal membrane oxygenation (ECMO) therapy, CRRT can be a safe and effective technique. However, there are many limitations of CRRT in neonates, including vascular access, bleeding complications, and lack of neonate-specific devices. This review discusses the basic principles of CRRT and the special considerations when using this technique in neonates and infants.
