Case Report
The Use of Membranes (ST-100, oXiris, and M60) for Continuous Renal Replacement Therapy in a Child with Sepsis
Table 2
The dynamics of clinical and laboratory parameters during CRRT.
| Days after ICU admission | D1 | D2 | D3 | D4 | D5 | D6 | D7 |
| Respiratory rate (b/min) | 30 | 28 | 25 | 25 | 27 | 26 | 18 | PEEP (cmH2O) | 6 | 6 | 6 | 6 | 5 | 6 | 5 | FiO2 | 50 | 60 | 60 | 50 | 40 | 35 | 35 | PC above PEEP (cmH2O) | 18 | 18 | 17 | 15 | 12 | 12 | 10 | PaCO2 (cmH2O) | 41.4 | 36 | 39.7 | 37.7 | 39.1 | 37.1 | 35.9 | PaO2 (cmH2O) | 90 | 105 | 114 | 120 | 128 | 115 | 111 | P/F | 180 | 175 | 190 | 240 | 320 | 328 | 317 | Heart rate (b/min) | 139 | 138 | 135 | 148 | 108 | 121 | 107 | Mean arterial pressure (mmHg) | 45 | 58 | 66 | 58 | 84 | 72 | 84 | Noradrenaline (ug/kg/min) | 0.2 | 0.5 | 0.6 | 1 | 0.6 | 0.7 | 0.6 | Dobutamine (ug/kg/min) | 5 | 7.5 | 12.5 | 12.5 | 10 | 10 | 7.5 | Creatinine (μmol/L) | 20 | 16 | 45 | 42 | 27 | 34 | 34 | Urea nitrogen (mmol/L) | 2.78 | 1.98 | 4.5 | 3.4 | 2.9 | 7.12 | 7.69 | Urea (ml/24 h) | 250 | 610 | 780 | 890 | 1030 | 1060 | 1230 | CRRT parameters | | | | | | | | Mode | / | CVVHDF | CVVHDF | CVVHDF | CVVHDF | CVVHDF | CVVHDF | Membrane | / | ST100 | ST100 | oXiris | oXiris | M60 | M60 | Duration (h) | / | 14 | 14 | 12 | 12 | 13 | 14 | Blood flow rate (ml/kg/h) | / | 3 | 3 | 3.5 | 3.5 | 3.5 | 3.5 | Replacement fluid rate (ml/kg/h) | / | 30 | 30 | 40 | 40 | 40 | 40 | Net ultrafiltration flowrate (ml/kg/h) | / | 4 | 3 | 3 | 2 | 3 | 3 |
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CRRT: continuous renal replacement therapy; CVVHDF: continuous venovenous hemodiafiltration; P/F ratio: PaO2/FiO2 ratio.
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