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- noun Alternative form of
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Given that haemofiltration can easily be run by the ECMO personnel, there are no additional personnel costs.
Dr Tibboel and his team at the Erasmus MC Sophia Children's Hospital, The Netherlands, compared the time spent on ECMO, time until extubation after decannulation, mortality and potential cost reduction in 15 patients with haemofiltration and 46 control patients.
Haemofiltration has already been shown to improve fluid balance in children treated with extracorporeal membrane oxygenation (ECMO) but now researchers writing in BioMed Central's open access journal Critical Care have reported that continuous haemofiltration significantly reduces ECMO duration in newborns.
The authors found that not only was time on ECMO significantly decreased in the haemofiltration group (98h as opposed to 126h) but the haemofiltration patients also needed fewer blood transfusions and that fluid balance per day was significantly lower.
Stein B, Pfenninger E, Grunert A, Schmitz JE, Hudde M. Influence of continuous haemofiltration on haemodynamics and central blood volume in experimental endotoxic shock.
He had to be placed on the haemofiltration dialysis, but yet he was in and out of the Georgetown Hospital, where he had joined the kidney clinic.
Dr Tibboel concludes: "Adding continuous haemofiltration to the ECMO circuit in newborns improves short term outcomes by significantly reducing time on ECMO and by a possible reduction of systemic inflammatory response syndrome and capillary leakage syndrome.