Kidney Support in Children using an Ultrafiltration Device | Zendy

Shina Me | Zendy; J. J. Broderick | Zendy; Raj Munshi | Zendy; Lynn Dill | Zendy; Bradley DePaoli | Zendy; Sahar Fathallah-Shaykh | Zendy; Donna Claes | Zendy; Stuart L. Goldstein | Zendy; David J. Askenazi | Zendy

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Kidney Support in Children using an Ultrafiltration Device

Author(s) -

Shina Me,

J. J. Broderick,

Raj Munshi,

Lynn Dill,

Bradley DePaoli,

Sahar Fathallah-Shaykh,

Donna Claes,

Stuart L. Goldstein,

David J. Askenazi

Publication year - 2019

Publication title -

clinical journal of the american society of nephrology

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 2.755

H-Index - 151

eISSN - 1555-905X

pISSN - 1555-9041

DOI - 10.2215/cjn.03240319

Subject(s) - medicine , volume overload , ultrafiltration (renal) , extracorporeal , hemofiltration , intravascular volume status , renal replacement therapy , intensive care medicine , heart failure , hemodialysis , surgery , blood pressure , chemistry , chromatography

Provision of kidney replacement therapy (KRT) to manage kidney injury and volume overload in critically ill neonates and small children is technically challenging. The use of machines designed for adult-sized patients, necessitates large catheters, a high extracorporeal volume relative to patient size, and need for blood priming. The Aquadex FlexFlow System (CHF Solutions Inc., Eden Prairie, MN) is an ultrafiltration device designed for fluid removal in adults with diuretic resistant heart failure. It has an extracorporeal volume of 33 ml, which can potentially mitigate some complications seen at onset of KRT in smaller infants.

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