The Experiences of Pump-driven Continuous Venovenous Hemofiltration Therapy in Pediatric Patients

Lim, Yean-Jung; Hahn, Hye-Won; Lee, Byung-Sun; Park, Young-Seo

J Korean Soc Pediatr Nephrol > Volume 6(2); 2002 > Article

J Korean Soc Pediatr Nephrol 2002;6(2): 251-258.

소아에서 펌프를 이용한 지속적 정정맥 여과법을 시행한 경험 3례

임연정, 한혜원, 이병선, 박영서

¹울산대학교 의과대학 서울아산병원 소아과
²울산대학교 의과대학 서울아산병원 소아과
³울산대학교 의과대학 서울아산병원 소아과
⁴울산대학교 의과대학 서울아산병원 소아과

The Experiences of Pump-driven Continuous Venovenous Hemofiltration Therapy in Pediatric Patients

Yean-Jung Lim, Hye-Won Hahn, Byung-Sun Lee, Young-Seo Park

¹Department of Pediatrics, University of Ulsan, College of Medicine, Asan Medical Center
²Department of Pediatrics, University of Ulsan, College of Medicine, Asan Medical Center
³Department of Pediatrics, University of Ulsan, College of Medicine, Asan Medical Center
⁴Department of Pediatrics, University of Ulsan, College of Medicine, Asan Medical Center

ABSTRACT

We report the experiences of pump-driven continuous venovenous hemofiltration therapy in three children with acute renal failure. The all three patients required mechanical ventilation and needed the support of vasopressors. Renal replacement therapy was needed to meet the metabolic and fluid balance, but intermittent hemodialysis and peritoneal dialysis were not feasible because of hemodynamic instability and concurrent infection. We instituted pump-driven continuous venovenous hemofiltration(CVVH), and immediate improvement of pulmonary edema and successful removal of retained fluid were observed. Urea clearance also was satisfactory. During the filter running time, significant thromboembolic event or rapid drop of systemic blood pressure were absent. We concluded that the CVVH is an effective and safe method of renal support for critically ill pediatric patient.

Key words: Pump-driven continuous venovenous hemofiltration | Critically ill pediatric patient