scholarly journals Surgical complications of peritoneal dialysis in children with acute kidney failure

2020 ◽  
Vol 11 (3) ◽  
pp. 57-63
Author(s):  
Dmitrii A. Dobroserdov ◽  
Mikhail V. Shchebenkov ◽  
Alexey L. Shavkin
Keyword(s):  
Renal Failure ◽  
Acute Renal Failure ◽  
Peritoneal Dialysis ◽  
North West ◽  
The North ◽  
Specialized Center ◽  
Uremic Syndrome ◽  
Specialized Department ◽  
Dialysis Complications

The dialysis department of the Childrens City Multidisciplinary Clinical Specialized Center for High Medical Technologies has been operating since 1977 and is the only specialized department in the North-West Region of the Russian Federation that provides assistance to children with both acute and chronic renal failure. Peritoneal dialysis is the treatment of choice for children with acute renal failure, the most common cause of which is hemolytic-uremic syndrome. Despite widely used measures to improve the results of peritoneal dialysis, complications are extremely common. The article analyzes the complications of peritoneal dialysis in children with acute renal failure who were treated in a hospital from 2008 to 2018. The emphasis in the study is on the analysis of complications of peritoneal dialysis, in the treatment of which the surgeon actively participated or should have taken part in. If the problem of acute renal failure is multidisciplinary in the sense that it requires the participation of nephrologists, resuscitators, infectious disease specialists, then if necessary, renal replacement therapy requires the surgeon to become not only a specialist providing access, but also a full-fledged participant in the treatment process. As follows from the foregoing, the surgeons actions depend not only on the quality of dialysis, but also the timeliness and adequacy of treatment of complications, which ultimately improves or worsens the quality of medical care in general.

Acute Peritoneal Dialysis Access in Infant Renal Failure

1996 ◽  
Vol 16 (1_suppl) ◽  
pp. 509-511 ◽  
Author(s):  
Timothy E. Bunchman
Keyword(s):  
Renal Failure ◽  
Acute Renal Failure ◽  
Peritoneal Dialysis ◽  
Rapid Onset ◽  
Dialysis Access ◽  
Minimal Risk ◽  
University Of Michigan ◽  
Equipment Availability ◽  
Dialysis Complications ◽  
The University

Rapid onset of acute peritoneal dialysis (PD) in the infant population is, in part, dependent upon equipment availability. From March 1991 until June 1995, over 200 children at the University of Michigan have undergone dialysis for acute renal failure. Of these children, 29 infants (mean±SEM) (age 4.5±1.3 months; weight 4.8±0.5 kg) have had placement of an acute 5 French Cook PD catheter for dialysis. Complications including inadequate inflow in one case, bleeding in one case, and accidental removal in one case were infrequent. Duration of the placed catheters was 9.9±2.7 days, without the problems associated with chronic placement of a stiff catheter. Onset of dialysis occurred within minutes due to rapid access. We conclude that the placement of a 5 French Cook acute PD catheter for acute PD in the infant population is easily performed with minimal risk. Moreover, this allows for more rapid onset of PD when conditions mandate this need.

scholarly journals Peritoneal Dialysis for Acute Renal Failure in Infants: A Comparison of Three Types of Peritoneal Access

Renal Failure ◽  
1997 ◽  
Vol 19 (1) ◽  
pp. 165-170 ◽  
Author(s):  
H. S. Kohli ◽  
A. Barkataky ◽  
R. S. Vasanth Kumar ◽  
K. Sud ◽  
V Jha ◽  
...  
Keyword(s):  
Renal Failure ◽  
Acute Renal Failure ◽  
Peritoneal Dialysis

scholarly journals Rewards: A predictor of well-being and service quality of school principals in the North-West province

2016 ◽  
Vol 15 ◽  
Author(s):  
Kamohelo Nthebe ◽  
Nicolene Barkhuizen ◽  
Nico Schutte
Keyword(s):  
Service Quality ◽  
Service Delivery ◽  
Work Engagement ◽  
School Principals ◽  
Well Being ◽  
North West ◽  
The North ◽  
Total Rewards ◽  
North West Province

Orientation: School principals have an important role to play in the quality of service delivery in schools. Evidence suggests that school principals are generally poorly compensated, which has an adverse impact on their well-being and subsequent service quality orientation.Research purpose: This study investigated whether rewards are a predictor of well-being and service orientation of school principals in the North-West province.Motivation for the study: Effective school principals are fundamental to the success of any school, which necessitates the establishment of an effective reward and remuneration system.Research design, approach and method: Quantitative research was carried out among school principals (N = 155) in four districts of the North-West province. The Total Rewards Scale, Maslach’s Burnout Inventory – General Survey, the Utrecht Work Engagement Scale and the SERVQUAL measure were administered among the principals.Main findings: The results showed that rewards are a significant predictor of the well-being and service quality of school principals. The results further showed that burnout significantly reduces the service quality of school principals. No significant relationships were found between work engagement and the service quality of school principals.Practical/managerial implications: An effective total rewards system enhances the well-being of school principals and, subsequently, their willingness and commitment to delivering quality services.Contribution: The results of this study point out some key elements that need to be considered by the Department of Education to enable quality service delivery in South African schools.

Continuous Hemodiafiltration in Children

PEDIATRICS ◽  
1990 ◽  
Vol 85 (5) ◽  
pp. 819-823
Author(s):  
Nancy A. Bishof ◽  
Thomas R. Welch ◽  
C. Frederic Strife ◽  
Frederick C. Ryckman
Keyword(s):  
Renal Failure ◽  
Acute Renal Failure ◽  
Peritoneal Dialysis ◽  
Renal Replacement Therapy ◽  
Replacement Therapy ◽  
Effective Means ◽  
Tumor Lysis Syndrome ◽  
Intermittent Hemodialysis ◽  
Tumor Lysis ◽  
Continuous Arteriovenous Hemofiltration

Continuous arteriovenous hemofiltration is a form of renal replacement therapy whereby small molecular weight solutes and water are removed from the blood via convection, alleviating fluid overload and, to a degree, azotemia. It has been used in many adults and several children. However, in patients with multisystem organ dysfunction and acute renal failure, continuous arteriovenous hemofiltration alone may not be sufficient for control of azotemia; intermittent hemodialysis or peritoneal dialysis may be undesirable in such unstable patients. Recently, the technique of continuous arteriovenous hemodiafiltration has been used in many severely ill adults. We have used continuous arteriovenous hemodiafiltration in four patients at Children's Hospital Medical Center. Patient 1 suffered perinatal asphyxia and oliguria while on extracorporeal membrane oxygenation. Patients 2 and 4 both had Burkitt lymphoma and tumor lysis syndrome. Patient 3 had septic shock several months after a bone marrow transplant. All had acute renal failure and contraindications to hemodialysis or peritoneal dialysis. A blood pump was used in three of the four patients, while spontaneous arterial flow was adequate in one. Continuous arteriovenous hemodiafiltration was performed for varying lengths of time, from 11 hours to 7 days. No patient had worsening of cardiovascular status or required increased pressor support during continuous arteriovenous hemodiafiltration. The two survivors (patients 2 and 4) eventually recovered normal renal function. Continuous arteriovenous hemodiafiltration is a safe and effective means of renal replacement therapy in the critically ill child. It may be ideal for control of the metabolic and electrolyte abnormalities of the tumor lysis syndrome.

Systemic School Improvement Interventions in South Africa

2014 ◽  
Keyword(s):  
School Improvement ◽  
South African ◽  
Rural Areas ◽  
Eastern Cape ◽  
North West ◽  
Household Level ◽  
The North ◽  
Improvement Interventions ◽  
Academic Review

Looking at two smaller-scale systemic school improvement projects implemented in selected district circuits in the North West and Eastern Cape by partnerships between government, JET Education Services, and private sector organisations, this book captures and reflects on the experiences of the practitioners involved. The Systemic School Improvement Model developed by JET to address an identified range of interconnected challenges at district, school, classroom and household level, is made up of seven components. In reflecting on what worked and what did not in the implementation of these different components, the different chapters set out some of the practical lessons learnt, which could be used to improve the design and implementation of similar education improvement projects. Many of the lessons in this field that remain under-recorded to date relate to the step-by-step processes followed, the relationship dynamics encountered at different levels of the education system, and the local realities confronting schools and districts in South Africa's rural areas. Drawing on field data that is often not available to researchers, the book endeavours to address this gap and record these lessons. It is not intended to provide an academic review of the systemic school improvement projects. It is presented rather to offer other development practitioners working to improve the quality of education in South African schools, an understanding of some of the real practical and logistical challenges that arise and how these may be resolved to take further school improvement projects forward at a wider district, provincial and national scale.

Acute Renal Failure Due to Hemolytic Uremic Syndrome in Adult Patients

Renal Failure ◽  
1997 ◽  
Vol 19 (2) ◽  
pp. 279-282 ◽  
Author(s):  
Yvoty A. S. Sens ◽  
Luiz A. Miorin ◽  
HÉLio G. C. Silva ◽  
Denise M.A.C Malheiros ◽  
Dino M. Filho ◽  
...  
Keyword(s):  
Renal Failure ◽  
Acute Renal Failure ◽  
Hemolytic Uremic Syndrome ◽  
Adult Patients ◽  
Uremic Syndrome

IMPROVING QUALITY OF ASSISTANCE AND OUTCOME IN CRITICALLY ILL PATIENTS WITH ACUTE RENAL FAILURE

2006 ◽  
Vol 32 (3) ◽  
pp. 167-170
Author(s):  
P. Sclauzero ◽  
S. Casarotto ◽  
M. Martingano ◽  
F. Morpurgo ◽  
I. Rocconi ◽  
...  
Keyword(s):  
Renal Failure ◽  
Acute Renal Failure ◽  
Critically Ill ◽  
Critically Ill Patients
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