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Emergency dialysis in neonatal metabolic crises
Markus Daschner1, Franz Schaefer
1Division of Pediatric Nephrology, Children's Hospital, University of Heidelberg, Im Neuenheimer Feld 150, 69120 Heidelberg, Germany.
Abstract:
Metabolic crises in children with inborn errors of metabolism are caused by the accumulation of neurotoxic metabolites. Rapid elimination of these metabolites is apparently crucial to prevent irreversible neuronal damage; long-term outcome is correlated with the rate of toxin removal during the crisis. The usefulness of different blood purification techniques for removing accumulated neurotoxins is reviewed in this manuscript.