The Experiences of Pump-driven Continuous Venovenous Hemofiltration Therapy in Pediatric Patients.
- Author:
Yean Jung LIM
1
;
Hyewon HAHN
;
Byung sun LEE
;
Young Seo PARK
Author Information
1. Department of Pediatrics, University of Ulsan, College of Medicine, Asan Medical Center, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Pump-driven continuous venovenous hemofiltration;
Critically ill pediatric patient
- MeSH:
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
- From:Journal of the Korean Society of Pediatric Nephrology
2002;6(2):251-258
- CountryRepublic of Korea
- Language:Korean
-
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.
