2001, Number 1
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Med Crit 2001; 15 (1)
Comparative study between hemodiafiltration a peritoneal dialysis in critically ill children with acute oliguric renal failure
Cueva LAR, Risco CRE, Caballero de Akaki C
Language: Spanish
References: 18
Page: 11-17
PDF size: 70.01 Kb.
ABSTRACT
Objective: To establish a comparison between hemodia-filtration and peritoneal dialysis in ICU pediatric patients with acute oliguric renal failure (AORF).
Design: Case series report.
Setting: Pediatric ICU of a tertiary care hospital, Mexico City.
Patients: Ten pediatric patients with AORF.
Interventions: Ten children (mean age 24.2 ± 26.9 months, range three months to seven yrs). Five patients (group A) were treated with hemodiafiltration and other five patients (group B) were managed with peritoneal dialysis.
Measurements and main results: Pediatric risk of mortality score was at admission 34 ± 8.43 vs 35.2 ± 8.07 points (p ‹ 0.05), and at the end of procedure BUN was 48.5 ± 26.8 vs 33.4 ± 15 mg/dL, respectively for groups A and B. Four patients of group A and three of group B died.
Conclusion: The mortality rate due to AORF remain high in pediatric patients treated with hemodiafiltration or peritoneal dialysis.
REFERENCES
Smith D, Breena GS. Principles of Critical Care. Editorial McGraw-Hill, 1992; l: 1988-1911.
Brady H, Brenner MR. Acute Renal Failure: Principles of Medicine Interne. Editorial McGraw-Hill 14a. edición 1996; (1): 1504-1512.
Kierdorf HP, Sieberth HG. Continuous renal replacement therapies versus intermittent hemodialysis in acute renal failure: What do we Know? Am J Kidney Diseases 1996; (5) suppl 3. S90-96.
Castro JO. Insuficiencia renal aguda. En: Pacin J. Terapia Intensiva. Buenos Aires, Editorial Panamericana. 1995:565-575.
Ronco C, Bucharl H. Management of acute renal failure in the critically iII Patient. En: Pinsky M, Abhainaup JP, Pathophysiologic Foundations of Critical Care. Baltimore, Williams and Wilkins, 1993-668.
Reynolds N, Boirg BS, Mc Knith C. Survival after 67 days with continuous haemodiafiltration in a patient with multiple system organ failure. Crit Care Med 1992; 20(10):1487-1489.
Ring GE. Five years experience with continuous extracorporeal venous support in pediatric intensive care. Int Care Med 1991; 17(6): 315-319.
Ellia EN, Pearson D, Craig LR, Belsha W, Well GT, Berry PL. Pump-assisted hemodiafiltration in infants with acute renal failure. Nephron 1993; 7: 434-437.
Groom RC, Akl BI, Albus RA, Hill A. Alternative methods of ultrafiltration after cardiopulmonary bypass. The Society of Thoracic Surgeons 1994; (3): 573-584.
Kaplan AA, Langnecker RE, Folkat V. Continuous arteriovenous hemofiltration. Ann Intern Med 1988; 100: 358-367.
Lauer A, Saccaggi A, Ronco C, Bellone, Glabrnan S, P Bosch JB. Continuous Arteriovenous Hemofiltration in the Critically iII patient. Ann Intern Med 1983; 99: 455-460.
Bagshaw ON, Ancies FR, Hutchinson A. Continuous arteriovenous hemofiltration and respiratory function in multiple organ system failure. Int Care Med 1992; 18(6): 334-338.
Marini J. Crit Care Med 1989: 203-204.
Reynolds HN, Borg U, McKnight C. Survival after 67 days of continuous hemodiafiltration in a patient with multiple system organ failure. Crit Care Med 1992; 20: 1487-1489.
Kruczynski K, Irvine-Bird K, Edwin B, Toffelmire EB, Morton R. A comparison of continuous ateriovenous hemofiltration and intermittent hemodialysis in acute renal failure patients in the intensive care unit. ASAIO Journal 1993: M778-M781.
Caballero VMC, Risco CR. Hemodiafiltración como sustitución renal en niños graves. Terapia Intensiva. Asociación Mexicana de Pediatría A.C, McGraw-Hill Interamericana 1998: 315-325.
Bellomo R, Tipping P, Boyce N. Continuous veno-venous hemofiltration with dialysis removes cytokines from the circulation of septic patients. Crit Car Med 1993; 21: 522-525.
Pollack MM, Kantilal KM, Ruttimann UE. PRISM III: An Updated Pediatric Risk of Mortality Score. Crit Care Med 1996; 24: 743-752.