Continuous renal replacement therapy in neonates and young infants during extracorporeal membrane oxygenation

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dc.contributor.authorCavagnaro, F.
dc.contributor.authorKattan, J.
dc.contributor.authorGodoy, L.
dc.contributor.authorGonzalez, A.
dc.contributor.authorVogel, A.
dc.contributor.authorRodriguez, J. I.
dc.contributor.authorFaunes, M.
dc.contributor.authorFajardo, C.
dc.contributor.authorBecker, P.
dc.date.accessioned2024-01-10T13:47:10Z
dc.date.available2024-01-10T13:47:10Z
dc.date.issued2007
dc.description.abstractExtracorporeal membrane oxygenation (ECMO) is a therapy that ensures adequate tissue oxygen delivery in patients suffering cardiac and/or respiratory failure that are unresponsive to conventional therapy. During ECMO, it is common to see a decrease in urine output that may be associated with acute renal failure. In this context, continuous renal replacement therapy (CRRT) should be considered. Our aim is to evaluate a pioneer experience in Latin America, related to the use of CRRT in a group of neonatal-pediatric patients during ECMO. We conducted a retrospective review of patients treated with ECMO at our institution between May 2003 and May 2005. Twelve infants were treated with ECMO, six of them also underwent CRRT The main reasons for CRRT initiation were fluid overload and progressive azotemia. Observed complications were clots in the filter and excessive ultraffitration. CRRT was successful in fluid management and solute clearance in all patients. Discharge survival rate was 83%, all of them with normal renal function. Concurrent CRRT with ECMO is technically feasible and efficacious in the management of fluid overload and solute clearance. We report the first experience with these therapies in a Latin American neonatalpediatric ECMO program associated with the Extracorporeal Life Support Organization.
dc.format.extent7 páginas
dc.fuente.origenWOS
dc.identifier.eissn1724-6040
dc.identifier.issn0391-3988
dc.identifier.pubmedidMEDLINE:17417761
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/79243
dc.identifier.wosidWOS:000246477900007
dc.information.autorucMedicina;Becker P;S/I;77763
dc.information.autorucMedicina;Cavagnaro F;S/I;69615
dc.information.autorucMedicina;Vogel A;S/I;71737
dc.issue.numero3
dc.language.isoen
dc.nota.accesoSin adjunto
dc.pagina.final226
dc.pagina.inicio220
dc.publisherSAGE PUBLICATIONS LTD
dc.revistaINTERNATIONAL JOURNAL OF ARTIFICIAL ORGANS
dc.rightsregistro bibliográfico
dc.subjectcontinuous renal replacement therapy
dc.subjectacute renal failure
dc.subjectECMO
dc.subjectextracorporeal membrane oxygenation
dc.subjectELSO
dc.subjecthemofiltration
dc.subjecthemodiatiltration
dc.subjectPEDIATRIC RESPIRATORY-FAILURE
dc.subjectLIFE-SUPPORT
dc.subjectHEMOFILTRATION
dc.subjectECMO
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleContinuous renal replacement therapy in neonates and young infants during extracorporeal membrane oxygenation
dc.typeartículo
dc.volumen30
sipa.codpersvinculados77763
sipa.codpersvinculados69615
sipa.codpersvinculados71737
sipa.indexWOS
sipa.trazabilidadCarga SIPA;09-01-2024
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