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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Khandelwal, Priyanka Sharma, Sonia Bhardwaj, Swati Thergaonkar, R. W. Sinha, Aditi Hari, Pankaj Lodha, Rakesh Bagga, Arvind |
| Description | Country affiliation: India Author Affiliation: Khandelwal P ( Department of Pediatrics, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029, India.) |
| Abstract | Information on provision of continuous renal replacement therapy (CRRT) in critically ill children from developing countries is limited. The authors describe their experience in 17 children with hypotension and acute kidney injury (AKI) with fluid overload or electrolyte imbalance managed by 20 sessions of CRRT. The median (range) age and weight were 6 y (0.75-18) and 20 kg (6.2-42), respectively. All patients were receiving inotropic agents; nine had fluid overload (19 %, range 11-34.1 %) and ten had severe AKI. Median clearance and filter-life were 2171.4 ml/1.73 m(2)/h (1730.6-4405.8) and 69.7 h (2.8-98.3), respectively. Complications were catheter flow related (n = 1), filter clotting (n = 3), hemorrhage (n = 3), hypokalemia (n = 16) and hypophosphatemia (n = 11). Eight patients (47.1 %) survived; the median PRISM III score of survivors was significantly lower than non survivors (10.5 vs.17.0; P 0.02). Renal function recovered in the survivors emphasizing the role of this modality in managing critically ill patients. |
| File Format | HTM / HTML |
| ISSN | 00195456 |
| Issue Number | 8 |
| Volume Number | 82 |
| e-ISSN | 09737693 |
| Journal | The Indian Journal of Pediatrics |
| Language | English |
| Publisher | Springer |
| Publisher Date | 2015-08-01 |
| Publisher Place | India |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Pediatrics Acute Kidney Injury Therapy Critical Illness Hypotension Renal Replacement Therapy Statistics & Numerical Data Adolescent Child Child, Preschool Female Humans Infant Male Adverse Effects Journal Article |
| Content Type | Text |
| Resource Type | Article |
| Subject | Pediatrics, Perinatology and Child Health |
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