Volumetric control of continuous haemodialysis in multiple organ failure

A system for precise volumetric control of continuous haemodialysis and its use in providing renal replacement treatment in the intensive care unit to 10 children with multiple organ failure are described. The system, termed slow efficient dialysis, provided effective clearance of urea, creatinine,...

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Bibliographic Details
Published in:Archives of disease in childhood 1995-01, Vol.72 (1), p.42-45
Main Authors: Bradbury, M G, Brocklebank, J T, Dyson, E H, Goutcher, E, Cohen, A T
Format: Article
Language:English
Subjects:
Adolescent
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Child
Child, Preschool
Creatinine
Critical Care
Dialysis
Emergency and intensive care: renal failure. Dialysis management
Female
Hemodialysis
Humans
Infant
Intensive care medicine
Male
Medical personnel
Medical sciences
Multiple Organ Failure - etiology
Multiple Organ Failure - therapy
Pediatrics
Potassium - administration & dosage
Prospective Studies
Renal Dialysis - methods
Renal failure
Urea
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Summary:A system for precise volumetric control of continuous haemodialysis and its use in providing renal replacement treatment in the intensive care unit to 10 children with multiple organ failure are described. The system, termed slow efficient dialysis, provided effective clearance of urea, creatinine, potassium, and phosphate. It provided precise control of the volume of ultrafiltrate removed in a prospective manner ('dial up' fluid balance) to reduce haemodynamic instability and fluid management problems. The ease of use of this system for intensive care nurses meant that the system ran without the assistance of a second intensive care or renal nurse.
ISSN:0003-9888
1468-2044
DOI:10.1136/adc.72.1.42