ABSTRACTS from 16th International COnference on ... - CRRT Online

<strong>ABSTRACTS</strong> FROM 17 TH INTERNATIONAL CONFERENCE ON CRRT,
SAN DIEGO, FEB 14-17, 2012
removal after significant FO has already
developed. Our findings underscore the
need for prospective clinical trials to
determine if fluid restriction strategies or
earlier initiation of CRRT may lead to
improved patient outcomes in pediatric
patients on ECLS.
23. Recurrent Encephalopathy in a
Patient with End-Stage Renal
Disease Following Excess
Consumption of Energy Drink:
Management with Continuous
Renal Replacement Therapy
Seok Joon Shin, Sungjin Chung, Young
Ok Kim, Eui Jin Choi
The Catholic University of Korea, Seoul,
South Korea
Introduction: Most of energy drinks
generally contain mixtures of caffeine,
taurine, thiamine, riboflavin, pyridoxine,
nicotinamide, and inositol. The potential
dangers of these energy drinks remain
undetermined especially in patients with
renal dysfunction. We describe here a
patient with end-stage renal disease
(ESRD) undergoing maintenance
hemodialysis, who had recurrent
decreased mentality following excessive
consumption of energy drinks and have
been treated with continuous renal
replacement therapy (CRRT). Case: A
53-year-old woman was referred to
emergency room with sudden onset of
seizure-like motion and decreased
mentality. For 7 years, she had been on
hemodialysis because of ESRD due to
hypertension. According to the witness,
the patient consumed 6 bottles of a
caffeinated energy drink just before
losing consciousness. On admission, her
general examination was significant for
hypertension and sinus bradycardia.
There were neither mineral and
electrolyte abnormalities in blood tests
nor pulmonary edema on chest film. The
brain MRI was normal except for small
old infarctions in cerebellum. An initial
EEG showed a sharp wave in left frontal
area, which was a finding suggestive of a
partial seizure disorder arising <strong>from</strong> left
frontal area. She was treated with
hemodialysis immediately, however,
decreased mentality and seizure-like
movement continued. CRRT was started,
and her mentality became clear after 4
days of CRRT. The follow-up EEG
revealed intermittent slow waves in both
frontal areas without epileptic form
discharges. The patient was discharged
with instructions to abstain <strong>from</strong> the
energy drinks. About 19 months later,
she was brought to the emergency room
again with drowsy mentality after a
hemodialysis session at a private clinic.
CRRT was applied for 3 days, and she
recovered her mentality. Later, the
patient stated that she had consumed 4
bottles of the energy drink right before
her unconsciousness. Conclusion: We
successfully treated an ESRD patient
with recurrent encephalopathy following
excessive ingestion of caffeinated energy
drinks using CRRT. Although the
pathogenic mechanism of
encephalopathy following excessive
consumption of caffeinated energy
drinks has not been defined yet,
questions regarding the optimal dose of
energy drinks and proper CRRT
treatment in patients with renal
insufficiency should be raised.
24. Effects on Timing of High-volume
Hemofiltration In Elderly Patients
With Septic Shock
Wang Shouhong, Li Hanbiao, Qin Tiehe,
Guo Weixin, Li Jie
GICU of Guangdong Geriatric
Institute,Guangdong Academy of
Medical Sciences, Guangdong General
Hospital
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