Continuous Renal Replacement Therapy (CRRT) in Critically Ill Children with Multiple Organ Dysfunction Syndromes: A Case Report

Authors

  • Md Asaduzzaman Patwary Specialist, Pediatric Nephrology, Square Hospitals Ltd, Dhaka, Bangladesh
  • Ahmed Sayeed Consultant, Pediatrics and Pediatric ICU, Square Hospitals Ltd, Dhaka, Bangladesh
  • Taslima Chowdhury Resident, Epidemiology, BSMMU, Dhaka, Bangladesh
  • Tasneema Junaira Associate Professor, Department of Physiology, Monno Medical College, Manikgonj, Bangladesh
  • Md Abdul Qader Associate Consultant, Pediatric Nephrology, Square Hospitals Ltd, Dhaka, Bangladesh

DOI:

https://doi.org/10.3329/bjch.v45i2.60122

Keywords:

Acute Kidney Injury (AKI), Continuous Renal Replacement Therapy (CRRT), Multiple Organ Dysfunction Syndrome, Pediatric Intensive Care Unit

Abstract

Acute kidney injury (AKI) is a serious and potentially fatal clinical consequence of disease that increases morbidity and mortality in hospitalized children. In the event of AKI and fluid overload, renal replacement therapy (RRT) is a must-have therapy. In critically sick children with multi organ dysfunction syndrome (MODS) who are hemodynamically unstable, CRRT (continuous renal replacement therapy) is the cornerstone of dialysis. Although several hospitals in the country have begun to utilize CRRT in adult patients in the critical care unit, a lack of expertise and high therapeutic costs have prevented widespread adoption of CRRT. We managed a child with CRRT, who had AKI and MODS as a consequence of dengue shock syndrome and also was hemodynamically unstable in our hospital. The child’s renal function improved as a result of the CRRT therapy, as did his MODS. We have summarized our experience using CRRT in children for the first time in Bangladesh in this article.

BANGLADESH J CHILD HEALTH 2021; VOL 45 (2) : 120-123

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Published

2022-06-09

How to Cite

Patwary, M. A. ., Sayeed, A. ., Chowdhury, T. ., Junaira, T. ., & Qader, M. A. . (2022). Continuous Renal Replacement Therapy (CRRT) in Critically Ill Children with Multiple Organ Dysfunction Syndromes: A Case Report. Bangladesh Journal of Child Health, 45(2), 120–123. https://doi.org/10.3329/bjch.v45i2.60122

Issue

Section

Case Reports