Hemofiltración continua en pacientes con complicaciones abdominales del síndrome hemolítico urémico: Report of ten cases

Background: Close to one half of patients with hemolytic uremic syndrome (HUS) will require a dialytic therapy, mainly peritoneal dialysis (PD). In some cases, PD may have relative or absolute contraindications, usually when HUS is associated to severe intra-abdominal complications. Aim: To report t...

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Autores principales:	Cavagnaro SM,Felipe, Vogel S,Andrea, Ronco M,Ricardo, Rodríguez C,José Ignacio
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2002
Materias:	Hemofiltration Hemolytic-uremic syndrome Kidney failure, acute
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872002000700008
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spelling	oai:scielo:S0034-988720020007000082014-08-20Hemofiltración continua en pacientes con complicaciones abdominales del síndrome hemolítico urémico: Report of ten casesCavagnaro SM,FelipeVogel S,AndreaRonco M,RicardoRodríguez C,José Ignacio Hemofiltration Hemolytic-uremic syndrome Kidney failure, acute Background: Close to one half of patients with hemolytic uremic syndrome (HUS) will require a dialytic therapy, mainly peritoneal dialysis (PD). In some cases, PD may have relative or absolute contraindications, usually when HUS is associated to severe intra-abdominal complications. Aim: To report the results of continuous hemofiltration use, in children with abdominal complications of HUS. Material and methods: Retrospective review of the files of 40 patients that were admitted to our pediatric unit with HUS, since 1995. Six children had relevant intra-abdominal complications and were treated with continuous hemofiltration (CHF). Four additional children, with similar HUS related complications and treated with CHF before 1995, were included in the analysis. Results: The age of the patients ranged from 5 to 66 months old. An arterio-venous CHF was performed in four and veno-venous CHF in six children. The duration of CHF was 93.2 hours in average. Adequate control of volemia was achieved in every patient; diafiltration with peritoneal dialysis solution was added in five patients, to improve azotemia. Four patients had complications related to the vascular access or the anticoagulation procedure. The procedure was terminated due to improvement of diuresis in five cases, transfer to PD in four and a cardiorespiratory arrest in one. Only one patient developed a chronic renal failure during the follow up. Conclusions: CHF is an effective and safe alternative of acute renal replacement therapy in the management of renal failure in pediatric cases with HUS, aggravated with abdominal complications (Rev Méd Chile 2002; 130: 768-72).info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.130 n.7 20022002-07-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872002000700008es10.4067/S0034-98872002000700008
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Hemofiltration Hemolytic-uremic syndrome Kidney failure, acute
spellingShingle	Hemofiltration Hemolytic-uremic syndrome Kidney failure, acute Cavagnaro SM,Felipe Vogel S,Andrea Ronco M,Ricardo Rodríguez C,José Ignacio Hemofiltración continua en pacientes con complicaciones abdominales del síndrome hemolítico urémico: Report of ten cases
description	Background: Close to one half of patients with hemolytic uremic syndrome (HUS) will require a dialytic therapy, mainly peritoneal dialysis (PD). In some cases, PD may have relative or absolute contraindications, usually when HUS is associated to severe intra-abdominal complications. Aim: To report the results of continuous hemofiltration use, in children with abdominal complications of HUS. Material and methods: Retrospective review of the files of 40 patients that were admitted to our pediatric unit with HUS, since 1995. Six children had relevant intra-abdominal complications and were treated with continuous hemofiltration (CHF). Four additional children, with similar HUS related complications and treated with CHF before 1995, were included in the analysis. Results: The age of the patients ranged from 5 to 66 months old. An arterio-venous CHF was performed in four and veno-venous CHF in six children. The duration of CHF was 93.2 hours in average. Adequate control of volemia was achieved in every patient; diafiltration with peritoneal dialysis solution was added in five patients, to improve azotemia. Four patients had complications related to the vascular access or the anticoagulation procedure. The procedure was terminated due to improvement of diuresis in five cases, transfer to PD in four and a cardiorespiratory arrest in one. Only one patient developed a chronic renal failure during the follow up. Conclusions: CHF is an effective and safe alternative of acute renal replacement therapy in the management of renal failure in pediatric cases with HUS, aggravated with abdominal complications (Rev Méd Chile 2002; 130: 768-72).
author	Cavagnaro SM,Felipe Vogel S,Andrea Ronco M,Ricardo Rodríguez C,José Ignacio
author_facet	Cavagnaro SM,Felipe Vogel S,Andrea Ronco M,Ricardo Rodríguez C,José Ignacio
author_sort	Cavagnaro SM,Felipe
title	Hemofiltración continua en pacientes con complicaciones abdominales del síndrome hemolítico urémico: Report of ten cases
title_short	Hemofiltración continua en pacientes con complicaciones abdominales del síndrome hemolítico urémico: Report of ten cases
title_full	Hemofiltración continua en pacientes con complicaciones abdominales del síndrome hemolítico urémico: Report of ten cases
title_fullStr	Hemofiltración continua en pacientes con complicaciones abdominales del síndrome hemolítico urémico: Report of ten cases
title_full_unstemmed	Hemofiltración continua en pacientes con complicaciones abdominales del síndrome hemolítico urémico: Report of ten cases
title_sort	hemofiltración continua en pacientes con complicaciones abdominales del síndrome hemolítico urémico: report of ten cases
publisher	Sociedad Médica de Santiago
publishDate	2002
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872002000700008
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Hemofiltración continua en pacientes con complicaciones abdominales del síndrome hemolítico urémico: Report of ten cases

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