1. Dialysis modalities for the management of pediatric acute kidney injury.
- Author
-
de Galasso L, Picca S, and Guzzo I
- Subjects
- Acute Kidney Injury mortality, Child, Clinical Decision-Making, Humans, Nephrology methods, Nephrology standards, Pediatrics methods, Pediatrics standards, Peritoneal Dialysis adverse effects, Peritoneal Dialysis instrumentation, Peritoneal Dialysis standards, Practice Guidelines as Topic, Renal Dialysis adverse effects, Renal Dialysis instrumentation, Renal Dialysis standards, Treatment Outcome, Acute Kidney Injury therapy, Peritoneal Dialysis methods, Renal Dialysis methods
- Abstract
Acute kidney injury (AKI) is an increasingly frequent complication among hospitalized children. It is associated with high morbidity and mortality, especially in neonates and children requiring dialysis. The different renal replacement therapy (RRT) options for AKI have expanded from peritoneal dialysis (PD) and intermittent hemodialysis (HD) to continuous RRT (CRRT) and hybrid modalities. Recent advances in the provision of RRT in children allow a higher standard of care for increasingly ill and young patients. In the absence of evidence indicating better survival with any dialysis method, the most appropriate dialysis choice for children with AKI is based on the patient's characteristics, on dialytic modality performance, and on the institutional resources and local practice. In this review, the available dialysis modalities for pediatric AKI will be discussed, focusing on indications, advantages, and limitations of each of them.
- Published
- 2020
- Full Text
- View/download PDF