Review of acute kidney injury and continuous renal replacement therapy in pediatric extracorporeal membrane oxygenation.

摘要: Purpose To review the relevant literature of acute kidney injury (AKI) and continuous renal replacement therapy (CRRT) as it relates to pediatric extracorporeal membrane oxygenation (ECMO). Methods Available online literature. Results ECMO is a therapeutic modality utilized support patients with refractory respiratory and/or cardiac failure. AKI fluid overload (FO) are frequently observed in this patient population. There multiple modalities that can be for FO which include following: diuretics, in-line hemofiltration, CRRT. considerations when using CRRT including access, flows, hemolysis, anticoagulation, termination. Conclusion While each center has its own set equipment, experiences, practices, imperative international community continues work together provide an evidence-based approach address morbidity mortality associated FO.