All issues > Volume 32(2); 1989

Original Article

J Korean Pediatr Soc. 1989;32(2):230-238. Published online February 28, 1989.

Continuous Arteriovenous Hemofiltration in Children.

Hae Il Cheong¹, Dong Kyu Jin¹, Young Seo park¹, Yong Choi¹, Kwang Wook Ko¹

¹Department of Pediatrics, College of Medicine, Seoul National University, Seoul, Korea

Received: August 20, 1988;  Accepted: September 6, 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.

Keywords :Continuous arteriovenous hemofiltration (CAVH), Children, Acute renal failure (ARF), Intensive care unit (ICU).