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Use of the Aquadex™ system for ultrafiltration therapy in a hemodynamically unstable pediatric patient
- Publication Year :
- 2014
- Publisher :
- Georg Thieme Verlag KG, 2014.
-
Abstract
- In this case report, we describe the use of the Aquadex™ system for ultrafiltration therapy in the pediatric cardiac intensive care setting in a patient with fluid overload and acute kidney injury after congenital heart surgery. The patient is an 11-year-old, 25 kg male with complex single ventricle anatomy who underwent a one and a half ventricle repair. The patient experienced multiple organ dysfunction syndrome including acute kidney injury in the early post-operative period secondary to low cardiac output syndrome and tachyarrhythmia. Ultrafiltration using the Aquadex™ system was utilized to treat fluid overload in the setting of acute kidney injury and hemodynamic instability. Negative fluid balance was safely achieved. It was subsequently possible to wean ventilatory and inotropic support. We conclude that the use of ultrafiltration therapy is feasible in hemodynamically unstable pediatric patients with significant fluid overload in the setting of acute kidney injury following congenital heart surgery.
- Subjects :
- Inotrope
medicine.medical_specialty
business.industry
Acute kidney injury
Critical Care and Intensive Care Medicine
medicine.disease
Cardiac surgery
law.invention
law
Internal medicine
Intensive care
Heart failure
Pediatrics, Perinatology and Child Health
medicine
Cardiology
Cardiopulmonary bypass
business
Multiple organ dysfunction syndrome
Fluid balance
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Accession number :
- edsair.doi.dedup.....8e5069ce375dd846dd59c12251896361