Dialysis Therapies in Critically Ill Children

1992 ◽  
Vol 3 (3) ◽  
pp. 605-613
Author(s):  
Will Hendrix
Keyword(s):  
Renal Failure ◽  
Acute Renal Failure ◽  
Critically Ill ◽  
Pediatric Patients ◽  
Treatment Options ◽  
Critically Ill Children ◽  
Small Children ◽  
Care Nurse ◽  
Renal Replacement Therapies ◽  
In Infants And Children

Technologic advances provide renal replacement therapies to critically ill pediatric patients. Having multiplied rapidly, the options for intervention and treatment of acute renal failure in infants and small children are numerous. Thus, the need for the dialysis nurse and the critical care nurse to maintain, expand, and develop a new baseline of knowledge is a constant challenge. This article explores the management and treatment options for acute renal failure in infants and children

Nutrition of Critically Ill Children with Acute Renal Failure

2009 ◽  
pp. 1613-1617
Author(s):  
Michael Zappitelli ◽  
Norma J. Maxvold ◽  
Leticia Castillo
Keyword(s):  
Renal Failure ◽  
Acute Renal Failure ◽  
Critically Ill ◽  
Critically Ill Children

Continuous arteriovenous hemofiltration in critically ill children with acute renal failure

1987 ◽  
Vol 15 (7) ◽  
pp. 669-700 ◽  
Author(s):  
GERFRIED ZOBEL ◽  
MARIJA TROP ◽  
EKKEHARD RING ◽  
HANS-MICHAEL GRUBBAUER
Keyword(s):  
Renal Failure ◽  
Acute Renal Failure ◽  
Critically Ill ◽  
Critically Ill Children ◽  
Continuous Arteriovenous Hemofiltration

RISK FACTORS OF ACUTE RENAL FAILURE IN CRITICALLY ILL CHILDREN: A PROSPECTIVE DESCRIPTIVE EPIDEMIOLOGICAL STUDY

2007 ◽  
Vol 8 (1) ◽  
pp. 85
Author(s):  
Dennis Bailey ◽  
V??ronique Phan ◽  
Catherine Litalien ◽  
Thierry Ducruet ◽  
Aicha M??rouani ◽  
...  
Keyword(s):  
Risk Factors ◽  
Renal Failure ◽  
Acute Renal Failure ◽  
Epidemiological Study ◽  
Critically Ill ◽  
Critically Ill Children

scholarly journals Pharmacokinetics of Meropenem in Critically Ill Patients with Acute Renal Failure Treated by Continuous Hemodiafiltration

1998 ◽  
Vol 42 (9) ◽  
pp. 2421-2424 ◽  
Author(s):  
W. A. Krueger ◽  
T. H. Schroeder ◽  
M. Hutchison ◽  
E. Hoffmann ◽  
H.-J. Dieterich ◽  
...  
Keyword(s):  
Renal Failure ◽  
Acute Renal Failure ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Plasma Drug ◽  
Continuous Hemodiafiltration ◽  
Drug Levels ◽  
Continuous Venovenous Hemodiafiltration ◽  
Renal Replacement Therapies ◽  
Trough Levels

ABSTRACT The pharmacokinetics of meropenem were studied in nine anuric critically ill patients treated by continuous venovenous hemodiafiltration. Peak levels after infusion of 1,000 mg over 30 min amounted to 103.2 ± 45.9 μg/ml, and trough levels at 12 h were 9.6 ± 3.8 μg/ml. A dosage of 1,000 mg of meropenem twice a day provides plasma drug levels covering intermediately susceptible microorganisms. Further reductions of the dosage might be appropriate for highly susceptible bacteria or when renal replacement therapies with lower clearances are applied.

Infection in Critically Ill Pediatric Patients on Continuous Renal Replacement Therapy

2017 ◽  
Vol 40 (5) ◽  
pp. 224-229 ◽  
Author(s):  
Maria J. Santiago ◽  
Jesús López-Herce ◽  
Eva Vierge ◽  
Ana Castillo ◽  
Amaya Bustinza ◽  
...  
Keyword(s):  
Critically Ill ◽  
Pediatric Patients ◽  
Pediatric Intensive Care ◽  
Critically Ill Children ◽  
Common Condition ◽  
Risk Of Infection ◽  
Renal Replacement Therapies ◽  
Continuous Renal Replacement Therapies ◽  
Frequent Infection ◽  
Catheter Location

Introduction Continuous renal replacement therapies (CRRT) are frequently used in critically ill children and may increase the risk of infection. However, the incidence, characteristics and prognosis of infection in critically ill children on CRRT have not been studied. Methods Data from a prospective, single-center register of critically ill children treated with CRRT was analyzed. Results 55 children (40% under 1 year of age) were treated with CRRT between June 2008 and January 2012; 43 patients (78.2%) presented 1 or more infections. The most common condition of patients requiring CRRT was heart disease (69%). Infection occurred a median of 11 days after the initiation of CRRT (IQ range: 4 to 21 days). A total of 21 patients (48.8 %) developed 1 infection, 7 (16.2%) developed 2 infections and 15 (34.9%) developed 3 or more infections. The most frequent infection was catheter-related bacteremia, with no differences in catheter location. CRRT duration longer than 4.5 days was the only risk factor for infection. Patients with infection had a longer length of stay (LOS) in the Pediatric Intensive Care Unit (PICU) than patients without it (37.8 vs. 17.6, p = 0.019), but there were no differences in mortality (30.2% vs. 33.3%; p = 0.84). Conclusions Infection rate is high in critically ill children treated with CRRT. More than 4 days of CRRT increases the risk of infection. Infection in these patients entails a longer stay in the PICU but did not increase mortality.

RISK FACTORS OF ACUTE RENAL FAILURE IN CRITICALLY ILL CHILDREN: A PROSPECTIVE DESCRIPTIVE EPIDEMIOLOGICAL STUDY

2007 ◽  
Vol 8 (1) ◽  
pp. 84
Author(s):  
Dennis Bailey ◽  
V??ronique Phan ◽  
Catherine Litalien ◽  
Thierry Ducruet ◽  
Aicha M??rouani ◽  
...  
Keyword(s):  
Risk Factors ◽  
Renal Failure ◽  
Acute Renal Failure ◽  
Epidemiological Study ◽  
Critically Ill ◽  
Critically Ill Children

RISK FACTORS OF ACUTE RENAL FAILURE IN CRITICALLY ILL CHILDREN: A PROSPECTIVE DESCRIPTIVE EPIDEMIOLOGICAL STUDY

2007 ◽  
Vol 8 (1) ◽  
pp. 81
Author(s):  
Dennis Bailey ◽  
V??ronique Phan ◽  
Catherine Litalien ◽  
Thierry Ducruet ◽  
Aicha M??rouani ◽  
...  
Keyword(s):  
Risk Factors ◽  
Renal Failure ◽  
Acute Renal Failure ◽  
Epidemiological Study ◽  
Critically Ill ◽  
Critically Ill Children
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