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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
1997-6-20
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pubmed:abstractText |
In critically ill children, acute renal failure (ARF) is associated with a high mortality. To assess the outcome and complications of pump-assisted hemofiltration (PAHF) using a standard volumetric pump to regulate blood flow, we retrospectively reviewed our experience in 52 patients with ARF treated with PAHF from 1989 to 1995. These patients ranged in age from < 1 month to 19 years and in weight from 2 to 125 kg. The most common underlying diagnoses were congenital heart disease and infection. The duration of PAHF averaged 9 +/- 8 days (range 24 h to 43 days). Hemodiafiltration for solute control was required in 40 patients. Total fluid intake while on PAHF was 136 +/- 95 ml/kg per day, while urine output and ultrafiltration averaged 15 +/- 24 ml/kg per day and 89 +/- 58 ml/kg per day, respectively. Management of laboratory abnormalities was efficient with only 4 patients requiring 1 or 2 additional treatments of hemodialysis for control of uremia. Complications included hyponatremia in 13 patients, hypokalemia in 14 patients, hypovolemia in 8 patients, hyperglycemia in 6 patients, and bleeding in 9 patients. No complications specifically related to use of the volumetric infusion pump for PAHF were noted. PAHF using a volumetric infusion pump for blood flow regulation in critically ill children with ARF is a practical and efficient therapy.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Apr
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pubmed:issn |
0931-041X
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
11
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
196-200
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pubmed:dateRevised |
2010-11-18
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pubmed:meshHeading |
pubmed-meshheading:9090663-Acute Kidney Injury,
pubmed-meshheading:9090663-Adolescent,
pubmed-meshheading:9090663-Anticoagulants,
pubmed-meshheading:9090663-Child,
pubmed-meshheading:9090663-Child, Preschool,
pubmed-meshheading:9090663-Critical Care,
pubmed-meshheading:9090663-Female,
pubmed-meshheading:9090663-Hemofiltration,
pubmed-meshheading:9090663-Heparin,
pubmed-meshheading:9090663-Humans,
pubmed-meshheading:9090663-Infant,
pubmed-meshheading:9090663-Infant, Newborn,
pubmed-meshheading:9090663-Infusion Pumps,
pubmed-meshheading:9090663-Male,
pubmed-meshheading:9090663-Retrospective Studies,
pubmed-meshheading:9090663-Treatment Outcome,
pubmed-meshheading:9090663-Ultrafiltration
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pubmed:year |
1997
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pubmed:articleTitle |
Use of pump-assisted hemofiltration in children with acute renal failure.
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pubmed:affiliation |
University of Arkansas for Medical Sciences, Little Rock, USA.
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pubmed:publicationType |
Journal Article,
Clinical Trial
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