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Continuous Arteriovenous Hemofiltration in Children.

Journal of the Korean Pediatric Society 1989;32(2):230-238.
Published online February 28, 1989.
Continuous Arteriovenous Hemofiltration in Children.
Hae Il Cheong, Dong Kyu Jin, Young Seo park, Yong Choi, Kwang Wook Ko
Department of Pediatrics, College of Medicine, Seoul National University, Seoul, Korea
소아의 지속성 동정맥 혈액여과
정해일, 진동규, 박영서, 최용, 고광욱
서울대학교 의과대학 소아과학교실
Received: 20 August 1988   • Accepted: 6 September 1988
Abstract
Among those who were admitted to the Pediatric Intensive Care Unit (PICU), Seoul National University Children’s Hospital and developed acute renal failure (ARF) during the disease course, 11 children received continuous arteriovenous hemofiltration (CAVH) by pediatricians during a 3-year- period from Nov. 85 to Oct. 88. Their clinical findings were analyzed retrospectively, and the results were as follows; 1) They were 5 boys and 6 girls aged from 3 months to 14 years. ARF developed after open heart surgery in 3 children, and developed due to medical problems in 8. 2) CAVH had operated for 4-413 hours in each patients, and the average ultrafiltration rate (fluid removal rate) ranged 5.3-13.4 ml/kg/ hour. 3) Clotting of hemofilter was the most frequent complication of CAVH and the mean hemofilter life was 32.6 hours. 4) Three children expired during the course of ARF, another 3 expired later due to underlying disease itself or other comlications, and, finally, 5 discharged from the PICU with improved conditions. In conclusion, CAVH, a safer and more effective renal replacement therapy than traditional dialysis methods especially in critically ill and hemodynamically unstable ICU patients with multiple organ failure, can be used in children as well as in adults.
Key Words: Continuous arteriovenous hemofiltration (CAVH), Children, Acute renal failure (ARF), Intensive care unit (ICU).


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