In tandem extracorporeal therapies during hemodialysis in pediatric patients

Amy E. McAlister, Kira Geile, Carmen M. Halabi, T. K.E.E.F.E. Davis

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

We describe the successful treatment of a pediatric transplant patient with simultaneous intermittent hemodialysis and therapeutic plasma exchange (TPE). The patient presented with kidney graft failure. He had life threatening electrolyte disturbances and fluid overload due to antibody-mediated rejection. Therefore, he was in need of both emergent kidney replacement therapy and TPE. Both extracorporeal circuits were set up, established, and maintained safely and effectively without difficulty or alarms. Running intermittent hemodialysis and TPE simultaneously significantly reduced therapy time, allowed both needed therapies priority, and provided a superior pediatric patient experience in an acute situation.

Original languageEnglish
Pages (from-to)S40-S43
JournalHemodialysis International
Volume20
DOIs
StatePublished - Oct 1 2016

Keywords

  • Pediatric
  • extracorporeal circuits
  • hemodialysis
  • plasma exchange

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