Continuous renal replacement therapy in children with multiple organ dysfunction syndrome: A case series

Yan-lin Zhang, Wei-ping Hu, Ling-hui Zhou, Yin Wang, Ao Cheng, Si-nan Shao, Ling-ling Hong, Qiu-yue Chen
2014 International Brazilian Journal of Urology  
ARTICLE INFO ______________________________________________________________ ______________________ 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
more » ... arbonate 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.
doi:10.1590/s1677-5538.ibju.2014.06.18 pmid:25615255 fatcat:ghwtrmwwh5f4tghv74u5h3inii