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intensiv 2015; 23(06): 330-343
DOI: 10.1055/s-0041-105921
CNE Schwerpunkt
Nierenersatzverfahren
Georg Thieme Verlag KG Stuttgart · New York

Wenn die Niere Hilfe braucht

Caroline Kempf
,
Alexander Gratopp
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Publication History

Publication Date:
06 November 2015 (online)

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Zusammenfassung

Auf einer Kinderintensivstation ist die Nierenersatztherapie bei pädiatrischen Patienten im Vergleich zur Erwachsenenmedizin ein eher seltener praktiziertes Verfahren. Die Häufigkeit des Einsatzes der Nierenersatztherapie bei Kindern hat sich jedoch in den letzten Jahrzehnten deutlich erhöht. Es ist ein Wandel zu beobachten; nicht nur primär renale Ursachen führen zur Anwendung in der Pädiatrie, sondern es kommt im Zusammenhang mit komplexen Krankheitsbildern und fortgeschrittenen Möglichkeiten der Intensivtherapie häufiger zum (transienten) Ausfall der Nierenfunktion und der Notwendigkeit der Anwendung entsprechender Therapieoptionen.

 

  • Literatur

  • 1 Moghal NE, Brocklebank JT, Meadow SR. A review of acute renal failure in children: incidence, etiology and outcome. Clin Nephrol 1988; 49: 91-95
    Google Scholar
  • 2 Kaplan BS, Meyers KE, Schulman SL. The pathogenesis and treatment of hemolytic uraemic syndrome. J Am Soc Nephrol 1998; 10: 1126-1133
    Google Scholar
  • 3 Fitzpatrick MM, Kerr SA, Bradbury MG. Acute renal failure. In: Webb N, Postlethwaite R, (eds.) Clinical paediatric nephrology. 3rd edn. Oxford: Oxford University Press; 2003. pp 405-425
    Google Scholar
  • 4 Watson AR () Renal disease in the neonate. In: McIntosh N, Helms PJ, Smyth RL, (eds.) Forfar and Arneil’s textbook of paediatrics. 6th edn. Edinburgh: Churchill Livingstone; 2003. pp 197-392
    Google Scholar
  • 5 Arbeiter AK et al. CVVHD and CPD in the acute management of 21 children with inborn errors of metabolism. Nephrol Dial Tranplant 2010; 25: 1257-1265
    CrossrefGoogle Scholar
  • 6 Schwartz GJ, Muñoz A, Schneider MF et al. New equations to estimate GFR in children with CKD. J Am Soc Nephrol 2009; 20: 629-637
    CrossrefPubMedGoogle Scholar
  • 7 Palevsky PM. Dialysis modality and dosing strategy in acute renal failure. Semin Dial 2006; 19: 165
    CrossrefGoogle Scholar
  • 8 Ronco C, Bellomo R, Homel P et al. Effects of different dosis in continuous veno-venous haemofiltration on outcomes of acute renal failure: a prospective randomized trial. Lancet 2000; 356: 26
    CrossrefPubMedGoogle Scholar
  • 9 Bellomo R, Ronco C, Kellum JA et al. Acute renal failure – definition, outcome measures, animal models, fluid therapy and information technology needs; the Second International Consensus Conference of the Acute Dialysis Quality Initiative (ADQI) Group. Crit Care 2004; 8: R204
    CrossrefGoogle Scholar
  • 10 Foland JA, Fortenberry JD, Warshaw BL et al. Fluid overload before continuous hemofiltration and survival in critically ill children: a retrospective analysis. Crit Care Med 2004; 32: 1771
    CrossrefPubMedGoogle Scholar
  • 11 Ronco C, Garzotto F, Brendolan A et al. Continuous renal replacement therapy in neonates and small infants: development and first-in-human use of a miniaturised machine (CARPEDIEM). Lancet 2014; 383: 1807
    CrossrefGoogle Scholar
  • 12 Cullis B et al. ISPD Guidelines/Recommendations – Peritoneal Dialysis for acute kidney injury. Perit Dial Int 2014; Vol. 34 pp. 494-517
    CrossrefPubMedGoogle Scholar
  • 13 Fischbach M et al. Dynamic changes of total pore area available for peritoneal exchange in children. J Am Soc Nephrol 2001; 12: 1524-1529
    Google Scholar
  • 14 Schaefer FS. Arbeitskreis Kinderdialyse. SOPs Kinderdialyse. 2. Aufl. Verlag Wissenschaftliche Skripten; 2014
    Google Scholar
  • 15 Klaus G. Prevention and Treatment of Peritoenal Dialysis-associated peritonitis in pediatric patients. Perit Dial Int 2005; 25 (Suppl. 03) 117-9
    Google Scholar
  • 16 Warady BA et al. ISPD Guidelines/Recommendations – Consensus for the prevention and treatment of catheter-related infections and peritonitis in pediatric patients receive peritoneal dialysis: 2012 update. Perit Dial Int 2012; Vol. 32 pp. S32-S86
    CrossrefPubMedGoogle Scholar
  • 17 Chadha V, Schaefer FS, Warady BA. Dialysis-associated peritonitis in children. Pediatr Nephrol 2010; 25 (3) 425-40 DOI: 10.1007/s00467–008-1113–6.
    CrossrefPubMedGoogle Scholar
  • 18 Flynn JT. Choice of dialysis modality for management of pediatric acute renal failure. Pediatr Nephrol 2002; 17: 61
    CrossrefGoogle Scholar
  • 19 Askenazi DJ. Continuous renal replacement therapy for children ≤ 10 kg: a report from the prospective pediatric continuous renal replacement therapy registry. J Pediatr 2013; 162 (3) 587-592
    CrossrefGoogle Scholar
  • 20 Fleming F, Bohn D, Edwards H et al. Renal replacement therapy after repair of congenital heart disease in children. A comparison of hemofiltration and peritoneal dialysis. J Thorac Cardiovasc Surg 1995; 109: 322
    CrossrefGoogle Scholar
  • 21 Fleming GM et al. Nonrenal indications for continious renal replacement therapy: a report from Prospective Pediatric Continious Renal Replacement Therapy Registry Group. Pediatr Crit Care Med 2012; Vol. 13 No. (5)
    Google Scholar
  • 22 Soltysiak J. Citrate anticoagulation for continuous renal replacement therapy in small children. Pediatr Nephrol 2014; 29: 469-475
    CrossrefGoogle Scholar
  • 23 Fernández SN. Citrate Anticoagulation for CRRT in Children: Comparison with Heparin. Biomed Res Int 2014; 2014: 7863-01
    Google Scholar
  • 24 Ellis EN, Pearson D, Belsha CW et al. Use of pump-assisted hemofiltration in children with acute renal failure. Pediatr Nephrol 1997; 11: 196-200
    CrossrefGoogle Scholar
  • 25 Ponikvar R, Kandus A, Urbancic A et al. Continuous renal replacement therapy and plasma exchange in newborns and infants. Artif Organs 2002; 26: 163-168
    CrossrefGoogle Scholar
  • 26 Daschner M. Tabellarium Nephrologicum. 3. Aufl. Shaker Verlag; 2009
    Google Scholar
  • 27 https://www.unispital-basel.ch/fileadmin/unispitalbaselch/Bereiche/Medizin/Infektiologie_Spitalhygiene/Pocket_Guides_und_Richtlinien/AntiInfektiva_bei_schweren_Infektionen_auf_der_Intensivstation_Guidelines_zur_Dosierung_bei_NI_H%C3 %A4modialyse_H%C3 %A4mofiltration_-_7_5_12.pdf letzter Zugriff 10.08.2015