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Pediatric Nephrology

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18.03.2019 | Educational Review

Dialysis modalities for the management of pediatric acute kidney injury

verfasst von: Lara de Galasso, Stefano Picca, Isabella Guzzo

Erschienen in: Pediatric Nephrology | Ausgabe 5/2020

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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.

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Titel: Dialysis modalities for the management of pediatric acute kidney injury
verfasst von: Lara de Galasso
Stefano Picca
Isabella Guzzo
Publikationsdatum: 18.03.2019
Verlag: Springer Berlin Heidelberg
Erschienen in: Pediatric Nephrology / Ausgabe 5/2020
Print ISSN: 0931-041X
Elektronische ISSN: 1432-198X
DOI: https://doi.org/10.1007/s00467-019-04213-x

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