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

Detalhes bibliográficos
Autor(a) principal: Zhang,Yan-lin
Data de Publicação: 2014
Outros Autores: Hu,Wei-ping, Zhou,Ling-hui, Wang,Yin, Cheng,Ao, Shao,Si-nan, Hong,Ling-ling, Chen,Qiu-yue
Tipo de documento: Relatório
Idioma: eng
Título da fonte: International Braz J Urol (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382014000600846
Resumo: 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 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.
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spelling Continuous renal replacement therapy in children with multiple organ dysfunction syndrome: A case seriesChildOrgan Dysfunction ScoresRenal Replacement TherapyMultiple Organ FailureThere 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 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.Sociedade Brasileira de Urologia2014-12-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382014000600846International braz j urol v.40 n.6 2014reponame:International Braz J Urol (Online)instname:Sociedade Brasileira de Urologia (SBU)instacron:SBU10.1590/S1677-5538.IBJU.2014.06.18info:eu-repo/semantics/openAccessZhang,Yan-linHu,Wei-pingZhou,Ling-huiWang,YinCheng,AoShao,Si-nanHong,Ling-lingChen,Qiu-yueeng2015-02-03T00:00:00Zoai:scielo:S1677-55382014000600846Revistahttp://www.brazjurol.com.br/ONGhttps://old.scielo.br/oai/scielo-oai.php||brazjurol@brazjurol.com.br1677-61191677-5538opendoar:2015-02-03T00:00International Braz J Urol (Online) - Sociedade Brasileira de Urologia (SBU)false
dc.title.none.fl_str_mv Continuous renal replacement therapy in children with multiple organ dysfunction syndrome: A case series
title Continuous renal replacement therapy in children with multiple organ dysfunction syndrome: A case series
spellingShingle Continuous renal replacement therapy in children with multiple organ dysfunction syndrome: A case series
Zhang,Yan-lin
Child
Organ Dysfunction Scores
Renal Replacement Therapy
Multiple Organ Failure
title_short Continuous renal replacement therapy in children with multiple organ dysfunction syndrome: A case series
title_full Continuous renal replacement therapy in children with multiple organ dysfunction syndrome: A case series
title_fullStr Continuous renal replacement therapy in children with multiple organ dysfunction syndrome: A case series
title_full_unstemmed Continuous renal replacement therapy in children with multiple organ dysfunction syndrome: A case series
title_sort Continuous renal replacement therapy in children with multiple organ dysfunction syndrome: A case series
author Zhang,Yan-lin
author_facet Zhang,Yan-lin
Hu,Wei-ping
Zhou,Ling-hui
Wang,Yin
Cheng,Ao
Shao,Si-nan
Hong,Ling-ling
Chen,Qiu-yue
author_role author
author2 Hu,Wei-ping
Zhou,Ling-hui
Wang,Yin
Cheng,Ao
Shao,Si-nan
Hong,Ling-ling
Chen,Qiu-yue
author2_role author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Zhang,Yan-lin
Hu,Wei-ping
Zhou,Ling-hui
Wang,Yin
Cheng,Ao
Shao,Si-nan
Hong,Ling-ling
Chen,Qiu-yue
dc.subject.por.fl_str_mv Child
Organ Dysfunction Scores
Renal Replacement Therapy
Multiple Organ Failure
topic Child
Organ Dysfunction Scores
Renal Replacement Therapy
Multiple Organ Failure
description 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 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.
publishDate 2014
dc.date.none.fl_str_mv 2014-12-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/report
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382014000600846
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382014000600846
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/S1677-5538.IBJU.2014.06.18
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Sociedade Brasileira de Urologia
publisher.none.fl_str_mv Sociedade Brasileira de Urologia
dc.source.none.fl_str_mv International braz j urol v.40 n.6 2014
reponame:International Braz J Urol (Online)
instname:Sociedade Brasileira de Urologia (SBU)
instacron:SBU
instname_str Sociedade Brasileira de Urologia (SBU)
instacron_str SBU
institution SBU
reponame_str International Braz J Urol (Online)
collection International Braz J Urol (Online)
repository.name.fl_str_mv International Braz J Urol (Online) - Sociedade Brasileira de Urologia (SBU)
repository.mail.fl_str_mv ||brazjurol@brazjurol.com.br
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