Document Detail


Continuous venovenous haemofiltration in neonates with renal insufficiency resulting from low cardiac output syndrome after cardiac surgery.
MedLine Citation:
PMID:  8866094     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Acute renal insufficiency is a common complication after surgery for congenital cardiovascular defects in neonates and is associated with a high incidence of morbidity and mortality. The authors reviewed their experience with continuous venovenous haemofiltration in neonates and infants with acute renal insufficiency resulting from low cardiac output following cardiovascular surgery. Twelve critically ill patients with pharmacologically intractable fluid overload were treated with continuous venovenous haemofiltration over a period of 42 months. All patients were mechanically ventilated and dependent on high doses of catecholamines. Continuous venovenous haemofiltration was started 64.2(28.2) h postoperatively and maintained for a period of 8 to 195 h. A negative fluid balance was achieved in all patients (2.1(0.5) ml/kg per h). No complications relating to continuous venovenous haemofiltration were evident during the treatment. The survival rate was 59% (seven of 12). Continuous venovenous haemofiltration is a valid and simple method for controlling fluid overload in neonates and infants with low cardiac output.
Authors:
R G Leyh; A Nötzold; E G Kraatz; H H Sievers; A Bernhard
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Cardiovascular surgery (London, England)     Volume:  4     ISSN:  0967-2109     ISO Abbreviation:  Cardiovasc Surg     Publication Date:  1996 Aug 
Date Detail:
Created Date:  1997-02-06     Completed Date:  1997-02-06     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9308765     Medline TA:  Cardiovasc Surg     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  520-5     Citation Subset:  IM    
Affiliation:
Department of Cardiac Surgery, University of Lübeck, Germany.
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MeSH Terms
Descriptor/Qualifier:
Cardiac Output, Low / mortality,  therapy*
Female
Heart Defects, Congenital / mortality,  surgery*
Hemofiltration / instrumentation*
Humans
Infant
Infant, Newborn
Kidney Failure, Acute / mortality,  therapy*
Male
Survival Rate
Treatment Outcome
Water-Electrolyte Balance / physiology

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


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