신생아와 영아의 지속적 신대체 요법
Continuous Renal Replacement Therapy in Infants and Neonates
2
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
지속적 신 대체 요법(CRRT)은 급성 신손상이 있는 중증 소아의 치료로 점차 사용이 늘어나고 있으며 CRRT의 기술과 실제 사용법이 발달하면서 작은 영아나 신생아에서도 그 사용이 조금씩 늘어나고 있다. 고암모니아혈증이나 체외막산소화 장치(ECMO) 치료 중에 발생한 급성 신손상 등의 경우 CRRT가 안전하고 효과적인 치료가 될 수 있으나, 혈관 접근이나 출혈 그리고 신생아 전용 CRRT device의 부재로 인한 여러 가지 제한점이 있다. 이 종설에서는 기본적인 CRRT의 원리를 알아보고 신생아와 영아에서 특별히 고려해야 할 사항들에 대해 알아보고자 한다.
Abstract
Continuous renal replacement therapy (CRRT) has become the preferred dialysis modality to support critically ill children with acute kidney injury. As CRRT technology and clinical practice advances, experiences using CRRT on small infants and neonates have increased. In neonates with hyperammonemia or acute kidney injury during extracorporeal membrane oxygenation (ECMO) therapy, CRRT can be a safe and effective technique. However, there are many limitations of CRRT in neonates, including vascular access, bleeding complications, and lack of neonatespecific devices. This review discusses the basic principles of CRRT and the special considerations when using this technique in neonates and infants.
참고문헌 (18)
- 이병섭, "신생아의 지속적 신대체요법", Neonatal medicine, 20(1), pp.12~19 (2013), 대한신생아학회
- Moghal NE, "A review of acute renal failure in children: incidence, etiology and outcome", Clin Nephrol, 49, pp.91~95 (1998)
- 박지민, "소아의 지속적 신대체요법", Childhood Kidney Diseases, 13(2), pp.118~129 (2009), 대한소아신장학회
- 박세진, "Overview of Pediatric Continuous Renal Replacement Therapy in Acute Kidney Injury", Childhood Kidney Diseases, 15(2), pp.107~115 (2011), 대한소아신장학회
- Sutherland SM, "Continuous renal replacement therapy in children", Pediatr Nephrol, 27, pp.2007~2016 (2012)
- Bellomo R, "Continuous haemofiltration in the intensive care unit", Crit Care, 4, pp.339~345 (2000)
- Churchwell MD, "Drug dosing during continuous renal replacement therapy", Semin Dial, 22, pp.185~188 (2009)
- Hackbarth R, "The effect of vascular access location and size on circuit survival in pediatric continuous renal replacement therapy: a report from the PPCRRT registry", Int J Artif Organs, 30, pp.1116~1121 (2007)
- El Masri K, "Successful continuous renal replacement therapy using two single-lumen catheters in neonates and infants with cardiac disease", Pediatr Nephrol, 28, pp.2383~2387 (2013)
- Del Castillo J, "Circuit life span in critically ill children on continuous renal replacement treatment: a prospective observational evaluation study", Crit Care, 12, pp.93~ (2008)
- Rödl S, "First experience with the Prismaflex HF 20 set in four infants. Int J Artif Organs", Int J Artif Organs, 34, pp.10~15 (2011)
- Rödl S, "One-year safe use of the Prismaflex HF20(®)disposable set in infants in 220 renal replacement treatment sessions", Intensive Care Med, 37, pp.884~885 (2011)
- Liu ID, "Use of HF20membrane in critically ill unstable low-body-weight infants on inotropic support", Pediatr Nephrol, 28, pp.819~822 (2013)
- 손영배, "Continuous renal replacement therapy in neonates weighing less than 3 kg", Korean Journal of Pediatrics, 55(8), pp.286~292 (2012), 대한소아과학회
- 김효정, "Acute treatment of hyperammonemia by continuous renal replacement therapy in a newborn patient with ornithine transcarbamylase deficiency", Korean Journal of Pediatrics, 54(10), pp.425~428 (2011), 대한소아과학회
- Goldstein SL, "Continuous renal replacement therapy : mechanism of clearance, fluid removal, indications and outcomes", Curr Opin Pediatr, 23, pp.181~185 (2011)
- Santiago MJ, "The use of continuous renal replacement therapy in series with extracorporeal membrane oxygenation", Kidney Int, 76, pp.1289~1292 (2009)
- Symons JM, "Demographic characteristics of pediatric continuous renal replacement therapy: a report of the prospective pediatric continuous renal replacement therapy registry", Clin J Am Soc Nephrol, 2, pp.732~738 (2007)