Next Article in Journal
Sibship and Self-Esteem in Children With Asthma
Previous Article in Journal
Clobazam and Its Use in Epilepsy
 
 
Search for Articles:
Title / Keyword
Author / Affiliation / Email
Journal
Article Type
 
 
Advanced Search
 
Section
Special Issue
Volume
Issue
Number
Page
 
Journals
Pediatric Reports
Volume 8
Issue 2
10.4081/pr.2016.6596
pediatrrep-logo
Submit to this Journal Review for this Journal Propose a Special Issue
► Article Menu

Article Menu

share Share announcement Help format_quote Cite question_answer Discuss in SciProfiles thumb_up
...
Endorse textsms
...
Comment
Pediatric Reports is published by MDPI from Volume 12 Issue 3 (2020). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with PAGEPress.
first_page
settings
Order Article Reprints
Font Type:
Arial Georgia Verdana
Font Size:
Aa Aa Aa
Line Spacing:
Column Width:
Background:
Case Report

Novel Use of an Ultrafiltration Device as an Alternative Method for Fluid Removal in Critically Ill Pediatric Patients With Cardiac Disease: A Case Series

by
Sujata Chakravarti
1,*,
Yasir Al-Qaqaa
1,
Meghan Faulkner
1,
Puneet Bhatla
1,
Michael Argilla
1 and
Michelle Ramirez
2
1
Division of Pediatric Cardiology, Department of Pediatrics, New York University School of Medicine, NY, USA
2
Division of Pediatric Critical Care, Department of Pediatrics, New York University School of Medicine, NY, USA
*
Author to whom correspondence should be addressed.
Pediatr. Rep. 2016, 8(2), 6596; https://doi.org/10.4081/pr.2016.6596
Submission received: 11 May 2016 / Revised: 23 May 2016 / Accepted: 30 May 2016 / Published: 23 June 2016

Abstract

Fluid overload (FO) is a common complication for pediatric patients in the intensive care unit. When conventional therapy fails, hemodialysis or peritoneal dialysis is classically used for fluid removal. Unfortunately, these therapies are often associated with cardiovascular or respiratory instability. Ultrafiltration, using devices such as the AquadexTM system (Baxter Healthcare, Deerfield, IL, USA), is an effective tool for fluid removal in adult patients with congestive heart failure. As compared to hemodialysis, ultrafiltration can be performed using smaller catheters, and the extracorporeal volume and minimal blood flow rates are lower. In addition, there is no associated abdominal distension as is seen in peritoneal dialysis. Consequently, ultrafiltration may be better tolerated in critically ill pediatric patients. We present three cases of challenging pediatric patients with FO in the setting of congenital heart disease in whom ultrafiltration using the AquadexTM system was successfully utilized for fluid removal while cardiorespiratory stability was maintained.
Keywords: Fluid overload; acute kidney injury; congenital heart disease; ultrafiltration Fluid overload; acute kidney injury; congenital heart disease; ultrafiltration

Share and Cite

MDPI and ACS Style

Chakravarti, S.; Al-Qaqaa, Y.; Faulkner, M.; Bhatla, P.; Argilla, M.; Ramirez, M. Novel Use of an Ultrafiltration Device as an Alternative Method for Fluid Removal in Critically Ill Pediatric Patients With Cardiac Disease: A Case Series. Pediatr. Rep. 2016, 8, 6596. https://doi.org/10.4081/pr.2016.6596

AMA Style

Chakravarti S, Al-Qaqaa Y, Faulkner M, Bhatla P, Argilla M, Ramirez M. Novel Use of an Ultrafiltration Device as an Alternative Method for Fluid Removal in Critically Ill Pediatric Patients With Cardiac Disease: A Case Series. Pediatric Reports. 2016; 8(2):6596. https://doi.org/10.4081/pr.2016.6596

Chicago/Turabian Style

Chakravarti, Sujata, Yasir Al-Qaqaa, Meghan Faulkner, Puneet Bhatla, Michael Argilla, and Michelle Ramirez. 2016. "Novel Use of an Ultrafiltration Device as an Alternative Method for Fluid Removal in Critically Ill Pediatric Patients With Cardiac Disease: A Case Series" Pediatric Reports 8, no. 2: 6596. https://doi.org/10.4081/pr.2016.6596

APA Style

Chakravarti, S., Al-Qaqaa, Y., Faulkner, M., Bhatla, P., Argilla, M., & Ramirez, M. (2016). Novel Use of an Ultrafiltration Device as an Alternative Method for Fluid Removal in Critically Ill Pediatric Patients With Cardiac Disease: A Case Series. Pediatric Reports, 8(2), 6596. https://doi.org/10.4081/pr.2016.6596

Article Metrics

Back to TopTop