Paediatric acute renal failure. A report on 2 cases successfully managed with continuous venovenous haemodiafiltration.

ABSTRACT

In critically ill patients continuous venovenous haemodiafiltration (CVVHD) is a method of renal replacement therapy gaining popularity. The advantage of CVVHD over intermittent haemodialysis and peritoneal dialysis lies in the accurate control of ultrafiltration and of solute clearance. Two paediatric patients with acute renal failure treated successfully with CVVHD are described. The role of CVVHD in renal supportive therapy in South African paediatric intensive care units is discussed.