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Hemofiltration and plasmapheresis in newborns using a small blood pump system
R Bambauer1, G A Jutzler, H J Jesberger
1Department of Nephrology, University of Saarland, Federal Republic of Germany.
Abstract:
Extracorporeal detoxification methods in newborns and premature infants are unavailable and contraindicated because of technical problems. The authors' experiences with a blood pump unit that was miniaturized for hemodialysis, hemofiltration, and plasmapheresis in newborns are reported. In 28 newborns and premature infants, 32 hemofiltrations, 3 hemodialyses, and 57 plasmaphereses were carried out for different diseases. Thirteen of 28 patients died despite hemofiltration and/or plasmapheresis as a result of their primary disease and/or immaturity, and 15 patients improved.