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February 1973

Long-Term Hemodialysis in the Neonatal Period

Author Affiliations

From the Department of Pediatrics (Dr. Mauer), the dialysis unit (Mr. Shideman and Drs. Buselmeier and Kjellstrand), and the departments of medicine and surgery (Drs. Buselmeier and Kjellstrand), University Hospital, University of Minnesota, Minneapolis.

Am J Dis Child. 1973;125(2):269-272. doi:10.1001/archpedi.1973.04160020083017

A 4-kg newborn baby with terminal uremia underwent 28 technically successful hemodialyses over a two-month period. A profunda femoris artery to saphenous vein silastic special pediatric shunt and four different pediatric dialyzer systems were used. Glucose added to the dialysate solution and intravenous mannitol administration prevented significant fluctuations in serum osmolality. Severe hypertension, malnutrition, electrolyte imbalance, and retarded motor development were problems encountered.

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