M Haim — Page 3 | PubMed Health

PubMedDate not supplied

Continuous arteriovenous hemofiltration as emergency procedure in severe hyperkalemia.

Severe hyperkalemia due to acute renal failure occurred in a preterm infant of a diabetic mother. Despite infusions of calcium gluconate, sodium bicarbonate, glucose, and insulin, the rapidly increasing serum potassium concentration resulted in ventricular flutter. After cardiac resuscitation, continuous arteriovenous hemofiltration was started for potassium elimination. Within 3 h of extracorporeal renal replacement therapy, serum potassium was lowered from 9.4 to below 7 mEq/l. Because of persisting oliguria continuous arteriovenous hemofiltration was continued for 60 h. The infant was discharged from the hospital at the age of 4 weeks with normal physical and neurological findings.

Acute Kidney Injury↗

PubMedDate not supplied

[Intrauterine growth--normal curves for gestational age].

We calculated new birthweight, length and head circumference standards for caucasian boys and girls between 26 and 43 weeks gestation from 28,126 singleton live births at our hospital between 1980 and 1985. Only stillbirths and infants with serious congenital abnormalities were excluded, whereas babies born to mothers suffering from complications known to affect fetal size were considered part of the population to which standards will be applied and thus remained included. The standards were determined from centiles for each gestational week independent of the mode of distribution of the data. The centiles were then "smoothed" using a Hanningfilter. The descriptive analysis showed a skew to the left of all our data and a steep distribution pattern so that the assumption of a normal distribution is incorrect. Comparison with mean values and standard deviations computed from the same data revealed considerable deviations from our results.

Birth Weight↗