Peer-reviewed veterinary case report
Use of Renal Replacement Therapy in a Neonatal Foal with Postresuscitation Acute Renal Failure.
- Journal:
- Journal of veterinary internal medicine
- Year:
- 2017
- Authors:
- Wong, D M et al.
- Affiliation:
- Department of Veterinary Clinical Sciences
- Species:
- horse
Plain-English summary
A newborn foal was brought in because it was unresponsive and had stopped breathing. After emergency resuscitation, the foal was revived but developed acute renal failure, which means its kidneys were not working properly. The foal was treated with a special machine to help filter its blood and remove extra fluid, which improved some of its kidney issues. Unfortunately, the foal later developed fluid in its lungs and had to be euthanized. While the treatment did not save the foal, it shows that this type of kidney therapy can be an option for young foals with similar problems.
Abstract
A newborn foal was presented because it was unresponsive and in cardiopulmonary arrest. Aggressive cardiopulmonary cerebral resuscitation was administered to the foal, which revived the foal; however, acute renal failure developed. Fluid retention and azotemia occurred although the foal was alert and able to suckle. A 6-hour renal replacement therapy session using hemodiafiltration and a continuous renal replacement therapy machine was administered to the foal at 3 days of age which lowered the foal's azotemia and facilitated removal of some of the excess body fluid. Despite therapy, the foal developed pulmonary edema and was euthanized. Although the foal in this case did not survive, this report highlights the possibility of developing postresuscitation complications such as acute renal failure and describes the use of renal replacement therapy using hemodiafiltration as a viable option in neonatal foals with acute kidney injury.
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Search related cases →Original publication: https://pubmed.ncbi.nlm.nih.gov/28190272/