Complications During Continuous Renal Replacement Therapy in Critically Ill Neonates

被引：12

作者：

Nishimi, Saeko ^{[1
]}

Sugawara, Hiroshi ^{[1
]}

Onodera, Chinatsu ^{[1
]}

Toya, Yukiko ^{[1
]}

Furukawa, Hiromi ^{[1
]}

Konishi, Yu ^{[1
]}

Sotodate, Genichiro ^{[1
]}

Matsumoto, Atsushi ^{[1
]}

Ishikawa, Ken ^{[1
]}

Oyama, Kotaro ^{[1
]}

机构：

[1] Iwate Med Univ, Dept Pediat, Sch Med, 19-1 Uchimaru, Morioka, Iwate 0208505, Japan

来源：

BLOOD PURIFICATION | 2019年 / 47卷

关键词：

Continuous renal replacement therapy; Acute kidney injury; Inborn errors of metabolism; Neonates; Blood priming; Complications; Intradialytic hypotension; Body temperature decline; Thrombocytopenia; ACUTE KIDNEY INJURY; HEMODIALYSIS; DIALYSIS; CIRCUITS; CHILDREN; SYSTEM;

D O I：

10.1159/000496654

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background/Aims: Owing to practical and technical developments, continuous renal replacement therapy (CRRT) has been administered even in critically ill neonates. In this study, the complications in CRRT for neonates were examined to establish a safe CRRT. Methods: This retrospective study reviewed the clinical records of neonates who underwent CRRT at our neonatal intensive care unit between 2009 and 2017. Results: Eight neonates with a body weight of 1,462-3,288 g were treated by 70 CRRT sessions with blood priming. Intradialytic hypotension (IDH) was observed in 39 sessions (55.7%), most of which occurred soon after the start of the CRRT. Body temperature decreased in 48 sessions (70.5%), and thrombocytopenia during CRRT occurred 30 times (42.9%). Conclusion: Complications during CRRT in neonates comprised IDH at the start of the CRRT, body temperature decline, and thrombocytopenia. These complications need to be analyzed for a safe neonatal CRRT. (c) 2019 S. Karger AG, Basel

引用

页码：74 / 80

页数：7

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