APPORT DE LHEMODIALYSE DANS LINSUFFISANCE RENALE AIGUE OBSTRUCTIVE : BENEFICES ET RISQUES

Obstructive acute renal failureis a life-threatening medical and surgical emergency, sometimes requiring emergency hemodialysis.The objective of our work is to describe the profile of emergency dialysis patients forobstructive acute renal failure, to determine the main indications of hemodialysis, and to identify the prognostic factors of mortality. Material and methods:This is a prospective and descriptive study including patients who presented an obstructive acute renal failurerequiring urgent hemodialysis before a possible removal of the obstacle. Results:Over 2 years, we collected 106 patients with a sex ratio of 1.4 and a mean age of 59.4 Ã‚Â± 14.5 years. Thehemodialysis indication is retained in the event of hyperkalemia (83%), and/or severe acidosis (38.7%), and/or poorly tolerated anemia (33%), and/or clinical uremic syndrome (13.2%), and/or an acute pulmonary edema (3.8%). Regarding the etiological diagnosis ofobstructive acute renal failure, the obstacle is of neoplastic origin in 73%.Complications related to dialysis are dominated by hemodynamic instability in per-dialysis in 22% of cases, as well as those related to catheter in 20% of cases. Kidney function normalized in 30% of cases, while 70% progressed to CKD.We recorded 13 deaths and hemodynamic instability in per-dialysis is an independent factor of mortality. Conclusion:The need for emergency dialysis is fraught with significant morbidity and mortality, particularly complications linked to KT of hemodialysis.

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Prognostic importance of vascular lesions in acute renal failure with microangiopathic hemolytic anemia (hemolytic-uremic syndrome): Clinicopathologic study in 20 adults

Kidney International ◽

10.1038/ki.1979.70 ◽

1979 ◽

Vol 15 (5) ◽

pp. 548-558 ◽

Cited By ~ 85

Author(s):

Liliane Morel-Maroger ◽

Alain Kanfer ◽

Kim Solez ◽

Jean-Daniel Sraer ◽

Gabriel Richet

Keyword(s):

Renal Failure ◽

Acute Renal Failure ◽

Hemolytic Uremic Syndrome ◽

Hemolytic Anemia ◽

Vascular Lesions ◽

Microangiopathic Hemolytic Anemia ◽

Clinicopathologic Study ◽

Uremic Syndrome ◽

Prognostic Importance

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Seven-Digit Creatine Kinase in Acute Rhabdomyolysis in a Child

Child Neurology Open ◽

10.1177/2329048x16684396 ◽

2017 ◽

Vol 4 ◽

pp. 2329048X1668439 ◽

Cited By ~ 1

Author(s):

Nuha Basheer ◽

Sirin Mneimneh ◽

Mariam Rajab

Keyword(s):

Renal Failure ◽

Creatine Kinase ◽

Acute Renal Failure ◽

Creatine Kinase Level ◽

Peak Plasma ◽

Renal Dialysis ◽

Acute Rhabdomyolysis ◽

Threatening Condition ◽

Life Threatening ◽

Plasma Creatine Kinase

Rhabdomyolysis is an acute life-threatening condition that can occur in childhood secondary to many causes. The authors report the case of a 3-year-old male child who presented with acute rhabdomyolysis. The peak plasma creatine kinase level was extremely high. The 2 main causes of rhabdomyolysis in childhood are viral myositis and trauma, which can sometimes lead to acute renal failure. The highest creatine kinase levels reported in the literature so far was a 6-digit level in 2014 case report. In this study, the authors report the case of a 7-digit creatine kinase level in a child secondary to viral myositis who did not require renal dialysis.

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Acute Renal Failure Due to Hemolytic Uremic Syndrome in Adult Patients

Renal Failure ◽

10.3109/08860229709026289 ◽

1997 ◽

Vol 19 (2) ◽

pp. 279-282 ◽

Cited By ~ 13

Author(s):

Yvoty A. S. Sens ◽

Luiz A. Miorin ◽

HÉLio G. C. Silva ◽

Denise M.A.C Malheiros ◽

Dino M. Filho ◽

...

Keyword(s):

Renal Failure ◽

Acute Renal Failure ◽

Hemolytic Uremic Syndrome ◽

Adult Patients ◽

Uremic Syndrome

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Renal involvement in human rabies: clinical manifestations and autopsy findings of nine cases from northeast of Brazil

Revista do Instituto de Medicina Tropical de São Paulo ◽

10.1590/s0036-46652005000600002 ◽

2005 ◽

Vol 47 (6) ◽

pp. 315-320 ◽

Cited By ~ 3

Author(s):

Elizabeth De Francesco Daher ◽

Geraldo Bezerra da Silva Júnior ◽

Marúsia Thomaz Ferreira ◽

Fernando Antonio de Sousa Barros ◽

Tiago Magalhães Gurgel ◽

...

Keyword(s):

Renal Failure ◽

Acute Renal Failure ◽

Renal Involvement ◽

Clinical Manifestations ◽

Signs And Symptoms ◽

Hemodynamic Instability ◽

Human Rabies ◽

Tubular Necrosis ◽

Post Mortem Findings ◽

Histopathologic Findings

A retrospective study was conducted in nine patients with rabies admitted to a hospital of Fortaleza, Brazil. Autopsy was performed in all cases. The ages ranged from three to 81 years and six were males. They all were bitten by dogs. The time between the accident and the hospital admission ranged from 20 to 120 days (mean 45 ± 34 days). The time until death ranged from one to nine days (mean 3.3 ± 5.5 days). The signs and symptoms presented were fever, hydrophobia, aerophobia, agitation, disorientation, dyspnea, sialorrhea, vomiting, oliguria, sore throat, pain and hypoesthesia in the site of the bite, headache, syncope, cough, hematemesis, mydriasis, hematuria, constipation, cervical pain and priapism. In three out of six patients, there was evidence of acute renal failure, defined as serum creatinine > 1.4 mg/dL. The post-mortem findings in the kidneys were mild to moderate glomerular congestion and mild to intense peritubular capillary congestion. Acute tubular necrosis was seen in only two cases. This study shows some evidence of renal involvement in rabies. Histopathologic findings are nonspecific, so hemodynamic instability, caused by autonomic dysfunction, hydrophobia and dehydration must be responsible for acute renal failure in rabies.

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Surgical complications of peritoneal dialysis in children with acute kidney failure

Pediatrician (St Petersburg) ◽

10.17816/ped11357-63 ◽

2020 ◽

Vol 11 (3) ◽

pp. 57-63

Author(s):

Dmitrii A. Dobroserdov ◽

Mikhail V. Shchebenkov ◽

Alexey L. Shavkin

Keyword(s):

Renal Failure ◽

Acute Renal Failure ◽

Peritoneal Dialysis ◽

North West ◽

The North ◽

Specialized Center ◽

Uremic Syndrome ◽

Specialized Department ◽

Dialysis Complications

The dialysis department of the Childrens City Multidisciplinary Clinical Specialized Center for High Medical Technologies has been operating since 1977 and is the only specialized department in the North-West Region of the Russian Federation that provides assistance to children with both acute and chronic renal failure. Peritoneal dialysis is the treatment of choice for children with acute renal failure, the most common cause of which is hemolytic-uremic syndrome. Despite widely used measures to improve the results of peritoneal dialysis, complications are extremely common. The article analyzes the complications of peritoneal dialysis in children with acute renal failure who were treated in a hospital from 2008 to 2018. The emphasis in the study is on the analysis of complications of peritoneal dialysis, in the treatment of which the surgeon actively participated or should have taken part in. If the problem of acute renal failure is multidisciplinary in the sense that it requires the participation of nephrologists, resuscitators, infectious disease specialists, then if necessary, renal replacement therapy requires the surgeon to become not only a specialist providing access, but also a full-fledged participant in the treatment process. As follows from the foregoing, the surgeons actions depend not only on the quality of dialysis, but also the timeliness and adequacy of treatment of complications, which ultimately improves or worsens the quality of medical care in general.

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Alcohol Related Non-traumatic Rhabdomyolysis and Compartment Syndrome

Acute Medicine Journal ◽

10.52964/amja.0152 ◽

2007 ◽

Vol 6 (1) ◽

pp. 33-34

Author(s):

JPL Ong ◽

◽

LA Thomas ◽

Keyword(s):

Skeletal Muscle ◽

Renal Failure ◽

Acute Renal Failure ◽

Lower Extremity ◽

Compartment Syndrome ◽

Early Recognition ◽

Clinical Entity ◽

Threatening Condition ◽

Life Threatening ◽

Renal Support

Rhabdomyolysis is a serious and life-threatening condition in which skeletal muscle is damaged, commonly resulting in acute renal failure. The causes of this clinical entity can be traumatic and non-traumatic. In the latter group, alcohol is the commonest cause. This report describes the case of a 25 year old man who presented with rhabdomyolysis leading to acute renal failure after an alcohol binge. He presented with painful legs and lower extremity compartment syndrome. The patient recovered with surgical fasciotomy and renal support. This case illustrates the importance of early recognition and treatment of alcohol related non-traumatic rhabdomyolysis and compartment syndrome.

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Continuous venovenous hemodialysis

American Journal of Critical Care ◽

10.4037/ajcc1994.3.2.92 ◽

1994 ◽

Vol 3 (2) ◽

pp. 92-99 ◽

Cited By ~ 3

Author(s):

BL Strohschein ◽

DM Caruso ◽

KA Greene

Keyword(s):

Renal Failure ◽

Acute Renal Failure ◽

Hemodynamic Instability ◽

Cerebellar Hemorrhage ◽

Renal Replacement Therapies ◽

Surgical Evacuation ◽

Fluid Shifts ◽

Continuous Venovenous Hemodialysis ◽

Dialysis Disequilibrium Syndrome ◽

Continuous Hemodialysis

Hemodialysis and peritoneal dialysis are the main renal replacement therapies for patients with acute renal failure. These patients are often unable to tolerate drastic fluid shifts and other complications of conventional dialysis. Continuous hemodialysis, however, provides protection from the hemodynamic consequences and osmotic stressors of conventional dialysis and is rapidly becoming the treatment of choice for critically ill patients. We present a case in which a patient with a spontaneous cerebellar hemorrhage developed acute renal failure. Surgical evacuation was not an option. Clinical management included the use of continuous venovenous hemodialysis, which is described in the setting of a patient with a posterior fossa mass. The risks of anticoagulation, hemodynamic instability, and development of dialysis disequilibrium syndrome are discussed.

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