Document Detail


Continuous arteriovenous hemofiltration in premature infants.
MedLine Citation:
PMID:  2721212     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Five critically ill premature infants with acute renal failure (ARF) and hypervolemia were treated by continuous arteriovenous hemofiltration (CAVH). Prostacyclin was used to prevent hemofilter clotting. Mean treatment duration was 53.6 +/- 14 h. Mean blood flow rates of 1.6 +/- 0.22 ml/min and filtration fractions of 17.2 +/- 3.7% produced mean ultrafiltration rates of 8.3 +/- 3.1 ml/kg.h. Fluid overload was easily corrected by means of CAVH. The mean prehemofiltration serum creatinine and urea levels were 2.3 +/- 0.4 and 77 +/- 29.7 mg/dl; the mean posthemofiltration levels were 2.38 +/- 0.43 and 92 +/- 34.4 mg/dl, respectively. Hemofilter clotting occurred every 14 h. Urinary output was restored in three infants. Three of the five infants died, but none of the deaths was related to ARF or CAVH. CAVH is a safe and simple method to control fluid and metabolic imbalances in critically ill premature infants.
Authors:
G Zobel; E Ring; W Müller
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Critical care medicine     Volume:  17     ISSN:  0090-3493     ISO Abbreviation:  Crit. Care Med.     Publication Date:  1989 Jun 
Date Detail:
Created Date:  1989-06-27     Completed Date:  1989-06-27     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0355501     Medline TA:  Crit Care Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  534-6     Citation Subset:  AIM; IM    
Affiliation:
Department of Neonatology, University of Graz, Austria.
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MeSH Terms
Descriptor/Qualifier:
Blood Pressure
Body Weight
Creatinine / blood
Hemofiltration*
Humans
Infant, Newborn
Infant, Premature, Diseases / blood,  physiopathology,  therapy*
Kidney Failure, Acute / therapy*
Urea / blood
Chemical
Reg. No./Substance:
57-13-6/Urea; 60-27-5/Creatinine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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