Management of CRRT in paediatrics

  • G. Zobel
  • S. Rödl
  • E. Ring
Conference paper


Acute renal failure (ARF) is defined as the cessation of renal function with or without changes in urinary output. The incidence of ARF in paediatric intensive care units is highly variable, ranging from 2% to 8%, and is often associated with severe medical or surgical illness [1]. Whereas patients with intrinsic renal abnormalities as the basis for their renal failure have mortality rates below 10%, patients with secondary ARF have mortality rates higher than 50% [2].


Acute Renal Failure Renal Replacement Therapy Paediatric Intensive Care Unit Continuous Renal Replacement Therapy Ionise Calcium Level 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Fackler JC (1996) Renal, endocrine, and metabolic disorders. In: Rogers MC (ed) Textbook of pediatric intensive care. William & Wilkins, Baltimore, pp 1217–1246Google Scholar
  2. 2.
    Williams DM, Sreedhar SS, Mickell JJ et al (2002) Acute kidney failure: a pediatric experience over 20 years. Arch Pediatr Adolesc Med 156:893–900PubMedGoogle Scholar
  3. 3.
    Bunchman TE, McBryde KD, Mottes TE et al (2001) Pediatric acute renal failure: outcome by modality and disease. Pediatr Nephrol 16:1067–1071PubMedCrossRefGoogle Scholar
  4. 4.
    Lowrie LH (2000) Renal replacement therapies in pediatric multiorgan dysfunction syndrome. Pediatr Nephrol 14:6–12PubMedCrossRefGoogle Scholar
  5. 5.
    Maxvold NJ, Smoyer WE, Gardner JJ et al (1997) Management of acute renal failure in the pediatric patient: haemofiltration versus haemodialysis. Am J Kidney Dis 30:S84–S88PubMedGoogle Scholar
  6. 6.
    Zobel G, Rodl S, Urlesberger B et al (1998) Continuous renal replacement therapy in critically ill patients. Kidney Int Suppl 66:169–173Google Scholar
  7. 7.
    Belsha CW, Kohaut EC, Warady BA (1995) Dialytic management of childhood acute renal failure: a survey of North American paediatric nephrologists. Pediatr Nephrol 9:361–363PubMedCrossRefGoogle Scholar
  8. 8.
    Warady BA, Bunchman T (2000) Dialysis therapy for children with acute renal failure: survey results. Pediatr Nephrol 15:11–13PubMedCrossRefGoogle Scholar
  9. 9.
    Zobel G, Ring E, Kuttnig M et al (1996) Continuous renal replacement therapy in critically ill pediatric patients. Am J Kidney Dis 28:S28–34Google Scholar
  10. 10.
    Bunchman TE, Gardner JJ, Kershaw DB et al (1994) Vascular access for hemodialysis or CVVH(D) in infants and children. Nephrol Dial Transplant 23:314–317Google Scholar
  11. 11.
    Zobel G, Trop M, Muntean W et al (1988) Anticoagulation for continuous arteriovenous hemofiltration in children. Blood Purif 6:90–95PubMedCrossRefGoogle Scholar
  12. 12.
    Brophy PD, Somers MJ, Baum MA et al (2005) Multi-centre evaluation of anticoagulation in patients receiving continuous renal replacement therapy (CRRT). Nephrol Dial Transplant 20:1416–1421PubMedCrossRefGoogle Scholar
  13. 13.
    Bunchman TE, Maxvold NJ, Brophy PD (2003) Pediatric convective hemofiltration: Normocarb replacement fluid and citrate anticoagulation. Am J Kidney Dis 42:1248–1252PubMedCrossRefGoogle Scholar
  14. 14.
    Maxvold NJ, Smojer WE, Custer JR et al (2000) Amino acid loss and nitrogen balance in critically ill children with acute renal failure: a comparison between CVVH and CVVHD therapies. Crit Care Med 28:1161–1165PubMedCrossRefGoogle Scholar
  15. 15.
    Bellomo R, Seacombe J, Daskalakis M et al (1997) A prospective comparative study of moderate versus high protein intake for critically ill patients with acute renal failure. Ren Fail 19:111–120PubMedGoogle Scholar
  16. 16.
    Maxvold NJ, Bunchman TE (2003) Renal failure and renal replacement therapy. Crit Care Med 19:563–575Google Scholar
  17. 17.
    Goldstein SL, Somers MJG, Baum MA et al (2005) Pediatric patients with multi-organ dysfunction syndrome receiving continuous renal replacement therapy. Kidney Int 67:653–658PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Italia 2007

Authors and Affiliations

  • G. Zobel
    • 1
  • S. Rödl
    • 1
  • E. Ring
    • 1
  1. 1.Paediatric Intensive Care Unit, Department of PaediatricsMedical University of GrazAustria

Personalised recommendations