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Impact of an inline extracorporeal membrane oxygenation hemofilter system in neonatal acute kidney injury
Extracorporeal membrane oxygenation (ECMO) is considered a recognized lifesaving support for patients with cardiorespiratory failure. Acute kidney injury (AKI) and fluid overload are significant morbidity factors resulting in serious complications. The inline hemofilter system (IHS) and the continuo...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove Medical Press
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5936485/ https://www.ncbi.nlm.nih.gov/pubmed/29750039 http://dx.doi.org/10.2147/TCRM.S164031 |
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author | Azar, Mohammed Alamir, Abdulrahman Al Qahtani, Abdullah Thabet Khamisa, Al Mokali Alfakeeh, Khalid |
author_facet | Azar, Mohammed Alamir, Abdulrahman Al Qahtani, Abdullah Thabet Khamisa, Al Mokali Alfakeeh, Khalid |
author_sort | Azar, Mohammed |
collection | PubMed |
description | Extracorporeal membrane oxygenation (ECMO) is considered a recognized lifesaving support for patients with cardiorespiratory failure. Acute kidney injury (AKI) and fluid overload are significant morbidity factors resulting in serious complications. The inline hemofilter system (IHS) and the continuous renal replacement therapy (CRRT) machine are different methods of renal replacement therapy for patients with ECMO. IHS is the alternate, safe dialysis modality of choice because it is user-friendly, inexpensive, and efficiently removes fluid overload and renal diffusive clearance. We report on a 20-day-old male neonate with multiple congenital cardiac defects who needed venoarterial ECMO and had AKI necessitating renal replacement therapy using IHS. The patient had stable electrolyte parameters, good ultrafiltration, and efficient diffusive clearance. He was decannulated from ECMO therapy after 9 days without any related complications. Therefore, neonatal IHS is a safe and efficient alternative approach to AKI. |
format | Online Article Text |
id | pubmed-5936485 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Dove Medical Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-59364852018-05-10 Impact of an inline extracorporeal membrane oxygenation hemofilter system in neonatal acute kidney injury Azar, Mohammed Alamir, Abdulrahman Al Qahtani, Abdullah Thabet Khamisa, Al Mokali Alfakeeh, Khalid Ther Clin Risk Manag Case Report Extracorporeal membrane oxygenation (ECMO) is considered a recognized lifesaving support for patients with cardiorespiratory failure. Acute kidney injury (AKI) and fluid overload are significant morbidity factors resulting in serious complications. The inline hemofilter system (IHS) and the continuous renal replacement therapy (CRRT) machine are different methods of renal replacement therapy for patients with ECMO. IHS is the alternate, safe dialysis modality of choice because it is user-friendly, inexpensive, and efficiently removes fluid overload and renal diffusive clearance. We report on a 20-day-old male neonate with multiple congenital cardiac defects who needed venoarterial ECMO and had AKI necessitating renal replacement therapy using IHS. The patient had stable electrolyte parameters, good ultrafiltration, and efficient diffusive clearance. He was decannulated from ECMO therapy after 9 days without any related complications. Therefore, neonatal IHS is a safe and efficient alternative approach to AKI. Dove Medical Press 2018-05-01 /pmc/articles/PMC5936485/ /pubmed/29750039 http://dx.doi.org/10.2147/TCRM.S164031 Text en © 2018 Azar et al. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. |
spellingShingle | Case Report Azar, Mohammed Alamir, Abdulrahman Al Qahtani, Abdullah Thabet Khamisa, Al Mokali Alfakeeh, Khalid Impact of an inline extracorporeal membrane oxygenation hemofilter system in neonatal acute kidney injury |
title | Impact of an inline extracorporeal membrane oxygenation hemofilter system in neonatal acute kidney injury |
title_full | Impact of an inline extracorporeal membrane oxygenation hemofilter system in neonatal acute kidney injury |
title_fullStr | Impact of an inline extracorporeal membrane oxygenation hemofilter system in neonatal acute kidney injury |
title_full_unstemmed | Impact of an inline extracorporeal membrane oxygenation hemofilter system in neonatal acute kidney injury |
title_short | Impact of an inline extracorporeal membrane oxygenation hemofilter system in neonatal acute kidney injury |
title_sort | impact of an inline extracorporeal membrane oxygenation hemofilter system in neonatal acute kidney injury |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5936485/ https://www.ncbi.nlm.nih.gov/pubmed/29750039 http://dx.doi.org/10.2147/TCRM.S164031 |
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