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Renal Replacement Therapy in the ICU

  • Chapter
Pediatric Nephrology in the ICU

Core Messages

  • Physical principles of dialysis

  • Renal replacement modalities

    • Peritoneal dialysis

    • Hemodialysis

    • Continuous renal replacement therapies (CRRT)

  • General techniques for renal replacement in the ICU

  • Comparison of renal replacement modalities

  • Outcomes of renal replacement therapy

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References

  1. Auron A, Warady BA, Simon S, et al. (2007) Use of the multipurpose drainage catheter for the provision of acute peritoneal dialysis in infants and children. American Journal of Kidney Diseases 49(5):650–655

    Article  PubMed  Google Scholar 

  2. Berbece AN, Richardson RMA (2006) Sustained low-efficiency dialysis in the ICU: Cost, anticoagulation, and solute removal. Kidney International 70:963–968

    Article  PubMed  CAS  Google Scholar 

  3. Brophy PD, Mottes TA, Kudelka TL, et al. (2001) AN-69 membrane reactions are pH-dependent and preventable.American Journal of Kidney Diseases 38(1):173–178

    Article  PubMed  CAS  Google Scholar 

  4. Brophy PD, Somers MJG, Baum MA, et al. (2005) Multi-centre evaluation of anticoagulation in patients receiving continuous renal replacement therapy (CRRT). NephrologyDialysis Transplantation 20:1416–1421

    Google Scholar 

  5. Bunchman TE, McBryde KD, Mottes TE, et al. (2001) Pediatric acute renal failure: Outcome by modality and disease. Pediatric Nephrology 16:1067–1071

    Article  PubMed  CAS  Google Scholar 

  6. Bunchman TE, Maxvold NJ, Barnett J, et al. (2002) Pediatric hemofiltration: Normocarb dialysate solution with citrate anticoagulation. Pediatric Nephrology 17:150–154

    Article  PubMed  Google Scholar 

  7. Chadha V, Warady BA, Blowey DL, et al. (2000) Tenckhoff catheters prove superior to cook catheters in pediatric acute peritoneal dialysis. American Journal of Kidney Diseases 35(6):1111–1116

    Article  PubMed  CAS  Google Scholar 

  8. Chadha V, Garg U, Warady BA, Alon US (2002) Citrate clearance in children receiving continuous venovenous renal replacement therapy. Pediatric Nephrology 17:819–824

    Article  PubMed  Google Scholar 

  9. Daugirdas JT, Blake PG, Ing TS (2001) Handbook of Dialysis,3rd edn. Lippincott Williams & Wilkins, Philadelphia, PA

    Google Scholar 

  10. Elhanan N, Skippen P, Nuthall G, et al. (2004) Citrate anticoagulation in pediatric venovenous hemofiltration.Pediatric Nephrology 19:208–212

    Article  PubMed  Google Scholar 

  11. Foland JA, Fortenberry JD, Warshaw BL, et al. (2004) Fluid overload before continuous hemofiltration and survival in critically ill children: A retrospective analysis. Pediatric Critical Care 32(8):1171–1176

    Google Scholar 

  12. Flynn JT (2002) Choice of dialysis modality for management of pediatric acute renal failure. Pediatric Nephrology 17:61–69

    Article  PubMed  CAS  Google Scholar 

  13. Furman KI, Gomperts ED, Hockley J (1978) Activity of intraperitoneal heparin during peritoneal dialysis. Clinical Nephrology 9(1):15–18

    PubMed  CAS  Google Scholar 

  14. Gillespie RS, Seidel K, Symons JM (2004) Effect of fluid overload and dose of replacement fluid on survival in hemofiltration. Pediatric Nephrology 19:1394–1399

    Article  PubMed  Google Scholar 

  15. Goldstein SL, Currier H, Graf JM, et al. (2001) Outcome in children receiving continuous venovenous hemofiltration. Pediatrics 107:1309–1312

    Article  PubMed  CAS  Google Scholar 

  16. Goldstein SL (2003) Overview of pediatric renal replacement therapy in acute renal failure. Artificial Organs 27(9):781–785

    Article  PubMed  Google Scholar 

  17. Hackbarth RM, Eding D, Gianoli Smith C, et al. (2005) Zero balance ultrafiltration (Z-BUF) in blood-primed CRRT circuits achieves electrolyte and acid—base homeostasis prior to patient connection. Pediatric Nephrology 20:1328–1333

    Article  PubMed  Google Scholar 

  18. Kozek-Langenecker SA, Kettner SC, Oismueller C, et al. (1998) Anticoagulation with prostaglandin E1 and unfrac-tionated heparin during continuous venovenous hemofiltra-tion. Critical Care Medicine 26(7):1208–1212

    Article  PubMed  CAS  Google Scholar 

  19. Kramer P, Wigger W, Rieger J, et al. (1977) Arteriovenous haemofiltration: A new and simple method for treatment of over-hydrated patients resistant to diuretics. Klin Wochenschr 55:1121–1122

    Article  PubMed  CAS  Google Scholar 

  20. Marshall MR, Golper TA, Shaver MJ, et al. (2001) Sustained low-efficiency dialysis for critically ill patients requiring renal replacement therapy. Kidney International 60:777–785

    Article  PubMed  CAS  Google Scholar 

  21. Maxvold NJ, Smoyer WE, Custer JR, Bunchman TE (2000) Amino acid loss and nitrogen balance in critically ill children with acute renal failure: A prospective comparison between classic hemofiltration and hemofiltration with dialysis. Critical Care Medicine 28(4):1161–1165

    Article  PubMed  CAS  Google Scholar 

  22. Maxvold NJ, Bunchman TE (2003) Renal failure and renal replacement therapy. Critical Care Clinics 19:563–575

    Article  PubMed  Google Scholar 

  23. Neuhaus TJ, Goetschel P, Schmugge M, Leumann E (2000) Heparin-induced thromobocytopenia type II on hemodialysis:Switch to danaparoid. Pediatric Nephrology 14:713–716

    Article  PubMed  CAS  Google Scholar 

  24. Nowak G, Bucha E, Brauns I, Czerwinski R (1997) Anticoagulation with r-hirudin in regular haemodialysis with heparin-induced thrombocytopenia (HIT II). The first long-term application of r-hirudin in a haemodialysis patient. Wien Klin Wochenschr 109(10):354–355

    PubMed  CAS  Google Scholar 

  25. Pasko DA, Mottes TA, Mueller BA (2003) Pre-dialysis of blood prime continuous hemodialysis normalizes pH and electrolytes. Pediatric Nephrology 18:1177–1183

    Article  PubMed  Google Scholar 

  26. Rahim KA, Seidel K, McDonald RA (2004) Risk Factors for catheter-related complications in peritoneal dialysis.Pediatric Nephrology 19:1021–1028

    Article  PubMed  Google Scholar 

  27. Reeves JH, Cumming AR, Gallagher L, et al. (1999) A controlled trial of low-molecular weight heparin (dalteparin) versus unfractionated heparin as anticoagulant during continuous venovenous hemodialysis with filtration. Critical Care Medicine 27(10):2224–2228

    Article  PubMed  CAS  Google Scholar 

  28. Ronco C, Brendolan A, Bragantini L, et al. (1986) Treatment of acute renal failure in newborns by continuous arterio-venous hemofiltration. Kidney International 29:908–915

    Article  PubMed  CAS  Google Scholar 

  29. Ronco C, Brendolan A, LaGreca GL (1998) The peritoneal dialysis system. Nephrology Dialysis and Transplantation 13(S6):94–99

    Article  Google Scholar 

  30. Shea M, Hmiel SP, Beck AM (2001) Use of tissue plas-minogen activator for thrombolysis in occluded peritoneal dialysis catheters in children. Advances in Peritoneal Dialysis 17:249–252

    PubMed  CAS  Google Scholar 

  31. Strazdins V, Watson AR, Harvey B (2004) Renal replacement therapy for acute renal failure in children: European Guidelines. Pediatric Nephrology 19:199–207

    Google Scholar 

  32. Stedman's (1994) Medical Dictionary, 27th edn. Lippincott Williams & Wilkins, Philadelphia, PA

    Google Scholar 

  33. Symons JM, Chua AN, Somers MJG, et al. (2007) Demographic characteristics of pediatric CRRT: A report of the prospective pediatric continuous renal replacement therapy (ppCRRT) registry. Clinical Journal of the American Society of Nephrology 2:732–738

    Article  PubMed  Google Scholar 

  34. Trakarnvanich T, Chirananthavat T, Ariyakulnimit S, et al.(2006) The efficacy of single-needle versus double-needle hemodialysis in chronic renal failure. Journal of the Medical Association of Thailand 89(S2):196–206

    Google Scholar 

  35. Warady BA, Schaefer F, Holloway M, et al. (2000) Consensus guidelines for the treatment of peritonitis in pediatric patients receiving peritoneal dialysis. Peritoneal Dialysis International 20:610–624

    PubMed  CAS  Google Scholar 

  36. Warady BA, Bunchman TE (2000) Dialysis therapy for children with acute renal failure: Survey results. Pediatric Nephrology 15:11–13

    Article  PubMed  CAS  Google Scholar 

  37. Warady BA, Schaefer FS, Fine RN, Alexander SR (eds) (2004) Pediatric Dialysis. Kluwer Academic, Dordrecth

    Google Scholar 

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Luckritz, K.E., Symons, J.M. (2009). Renal Replacement Therapy in the ICU. In: Kiessling, S.G., Goebel, J., Somers, M.J.G. (eds) Pediatric Nephrology in the ICU. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-74425-2_8

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  • DOI: https://doi.org/10.1007/978-3-540-74425-2_8

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-74423-8

  • Online ISBN: 978-3-540-74425-2

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