[Haemofiltration in children. First experiences (author's transl)]

Area of Science:

• Pediatric Nephrology
• Renal Replacement Therapy
• Critical Care Medicine

Context:

• Children with terminal chronic renal failure require effective renal replacement therapies.
• Acute renal failure presents unique challenges in pediatric patients.
• Hemodialysis is a common treatment, but alternatives are sought for specific situations.

Purpose:

• To evaluate hemofiltration as a short-term treatment for pediatric renal failure.
• To assess the efficacy and tolerance of hemofiltration compared to hemodialysis.
• To determine the primary indications and fluid management strategies for hemofiltration in children.

Summary:

• Hemofiltration was employed in 12 children with end-stage renal disease and one with acute renal failure.
• This technique demonstrated rapid fluid removal with stable blood pressure and good patient tolerance, outperforming hemodialysis in these aspects.
• Hypervolemia was the main indication, necessitating precise calculation and substitution of high water and salt losses, approximately 50% of body weight.

Impact:

• Hemofiltration provides a viable alternative for short-term management of pediatric renal failure.
• The method's rapid fluid removal and stability offer advantages, particularly for hypervolemic patients.
• Accurate fluid management is crucial for successful hemofiltration outcomes in pediatric populations.