A Case Series: Continuous Kidney Replacement Therapy in Neonates With Low Body Weight

Emerging data indicate that acute kidney injury (AKI) may contribute to a worse prognosis in the infant population. Kidney replacement therapy (KRT) can be used to treat patients with AKI; however, this technique is challenging in patients in the neonatal intensive care units (NICUs) due to the low...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Chen-Yu Wu, Yung-Chieh Lin, Chih-Chia Chen
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	acute kidney injury dialysis low body weight continuous kidney replacement therapy (CKRT) neonate Pediatrics RJ1-570
Acceso en línea:	https://doaj.org/article/56998159e89c4901b818e4b40fc84684
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:56998159e89c4901b818e4b40fc84684
record_format	dspace
spelling	oai:doaj.org-article:56998159e89c4901b818e4b40fc846842021-11-17T06:00:48ZA Case Series: Continuous Kidney Replacement Therapy in Neonates With Low Body Weight2296-236010.3389/fped.2021.769220https://doaj.org/article/56998159e89c4901b818e4b40fc846842021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fped.2021.769220/fullhttps://doaj.org/toc/2296-2360Emerging data indicate that acute kidney injury (AKI) may contribute to a worse prognosis in the infant population. Kidney replacement therapy (KRT) can be used to treat patients with AKI; however, this technique is challenging in patients in the neonatal intensive care units (NICUs) due to the low body weights and blood volumes in this population. Peritoneal dialysis (PD) is a potential modality since it is technically less challenging. However, PD has been associated with several disadvantages, including poor fluid status control, catheter-associated leakage, and peritonitis. Unfortunately, these complications can cause the temporary cessation of PD. Continuous kidney replacement therapy (CKRT) may represent a suitable alternative for PD. CKRT may be technically feasible in infants; however, little is known about the application of CKRT in neonates with low body weights. In this report, we discuss three cases of CKRT who were treated in the NICU at a tertiary medical center in southern Taiwan. We selected an adequate catheter diameter and achieved vascular access via an internal jugular vein or umbilical vein. The prescription of an appropriate dose of heparin was then used to prolong the circuit life of the CKRT. The maintenance of circuit durability in neonates with low body weight remains problematic. We hope that our experience can assist with the future clinical management of CKRT in neonates with low body weight.Chen-Yu WuYung-Chieh LinYung-Chieh LinChih-Chia ChenChih-Chia ChenFrontiers Media S.A.articleacute kidney injurydialysislow body weightcontinuous kidney replacement therapy (CKRT)neonatePediatricsRJ1-570ENFrontiers in Pediatrics, Vol 9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	acute kidney injury dialysis low body weight continuous kidney replacement therapy (CKRT) neonate Pediatrics RJ1-570
spellingShingle	acute kidney injury dialysis low body weight continuous kidney replacement therapy (CKRT) neonate Pediatrics RJ1-570 Chen-Yu Wu Yung-Chieh Lin Yung-Chieh Lin Chih-Chia Chen Chih-Chia Chen A Case Series: Continuous Kidney Replacement Therapy in Neonates With Low Body Weight
description	Emerging data indicate that acute kidney injury (AKI) may contribute to a worse prognosis in the infant population. Kidney replacement therapy (KRT) can be used to treat patients with AKI; however, this technique is challenging in patients in the neonatal intensive care units (NICUs) due to the low body weights and blood volumes in this population. Peritoneal dialysis (PD) is a potential modality since it is technically less challenging. However, PD has been associated with several disadvantages, including poor fluid status control, catheter-associated leakage, and peritonitis. Unfortunately, these complications can cause the temporary cessation of PD. Continuous kidney replacement therapy (CKRT) may represent a suitable alternative for PD. CKRT may be technically feasible in infants; however, little is known about the application of CKRT in neonates with low body weights. In this report, we discuss three cases of CKRT who were treated in the NICU at a tertiary medical center in southern Taiwan. We selected an adequate catheter diameter and achieved vascular access via an internal jugular vein or umbilical vein. The prescription of an appropriate dose of heparin was then used to prolong the circuit life of the CKRT. The maintenance of circuit durability in neonates with low body weight remains problematic. We hope that our experience can assist with the future clinical management of CKRT in neonates with low body weight.
format	article
author	Chen-Yu Wu Yung-Chieh Lin Yung-Chieh Lin Chih-Chia Chen Chih-Chia Chen
author_facet	Chen-Yu Wu Yung-Chieh Lin Yung-Chieh Lin Chih-Chia Chen Chih-Chia Chen
author_sort	Chen-Yu Wu
title	A Case Series: Continuous Kidney Replacement Therapy in Neonates With Low Body Weight
title_short	A Case Series: Continuous Kidney Replacement Therapy in Neonates With Low Body Weight
title_full	A Case Series: Continuous Kidney Replacement Therapy in Neonates With Low Body Weight
title_fullStr	A Case Series: Continuous Kidney Replacement Therapy in Neonates With Low Body Weight
title_full_unstemmed	A Case Series: Continuous Kidney Replacement Therapy in Neonates With Low Body Weight
title_sort	case series: continuous kidney replacement therapy in neonates with low body weight
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/56998159e89c4901b818e4b40fc84684
work_keys_str_mv	AT chenyuwu acaseseriescontinuouskidneyreplacementtherapyinneonateswithlowbodyweight AT yungchiehlin acaseseriescontinuouskidneyreplacementtherapyinneonateswithlowbodyweight AT yungchiehlin acaseseriescontinuouskidneyreplacementtherapyinneonateswithlowbodyweight AT chihchiachen acaseseriescontinuouskidneyreplacementtherapyinneonateswithlowbodyweight AT chihchiachen acaseseriescontinuouskidneyreplacementtherapyinneonateswithlowbodyweight AT chenyuwu caseseriescontinuouskidneyreplacementtherapyinneonateswithlowbodyweight AT yungchiehlin caseseriescontinuouskidneyreplacementtherapyinneonateswithlowbodyweight AT yungchiehlin caseseriescontinuouskidneyreplacementtherapyinneonateswithlowbodyweight AT chihchiachen caseseriescontinuouskidneyreplacementtherapyinneonateswithlowbodyweight AT chihchiachen caseseriescontinuouskidneyreplacementtherapyinneonateswithlowbodyweight
_version_	1718425858633367552

A Case Series: Continuous Kidney Replacement Therapy in Neonates With Low Body Weight

Ejemplares similares