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Dialysis modalities for the management of pediatric acute kidney injury.
Pediatric Nephrology ( IF 3 ) Pub Date : 2019-03-18 , DOI: 10.1007/s00467-019-04213-x
Lara de Galasso 1 , Stefano Picca 1 , Isabella Guzzo 1
Affiliation  

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.

中文翻译:

儿科急性肾损伤的透析治疗方法。

住院儿童中的急性肾损伤(AKI)越来越多。它与高发病率和高死亡率相关,尤其是在新生儿和需要透析的儿童中。AKI的不同肾脏替代治疗(RRT)选项已从腹膜透析(PD)和间歇性血液透析(HD)扩展到连续RRT(CRRT)和混合模式。在儿童中提供RRT的最新进展为越来越多的疾病和年轻患者提供了更高的护理标准。在没有证据表明使用任何一种透析方法都能更好地生存的情况下,对于AKI儿童,最合适的透析选择取决于患者的特征,透析方式,机构资源和当地习惯。在这篇评论中
更新日期:2020-04-22
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