Basics of continuous renal replacement therapy in pediatrics
Kidney Research and Clinical Practice
;
: 455-461, 2019.
Artículo
en Inglés
| WPRIM
| ID: wpr-786201
ABSTRACT
In the last three decades, significant advances have been made in the care of children requiring renal replacement therapy (RRT). The move from the use of only hemodialysis and peritoneal dialysis to continuous venovenous hemofiltration with or without dialysis (continuous renal replacement therapy, CRRT) has become a mainstay in many intensive care units. The move to CRRT is the result of greater clinical experience as well as advances in equipment, solutions, vascular access, and anticoagulation. CRRT is the mainstay of dialysis in pediatric intensive care unit (PICU) for critically ill children who often have hemodynamic compromise. The advantages of this modality include the ability to promote both solute and fluid clearance in a slow continuous manner. Though data exist suggesting that approximately 25% of children in any PICU may have some degree of renal insufficiency, the true need for RRT is approximately 4% of PICU admissions. This article will review the history as well as the progress being made in the provision of this care in children.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Pediatría
/
Diálisis Renal
/
Hemofiltración
/
Diálisis Peritoneal
/
Enfermedad Crítica
/
Terapia de Reemplazo Renal
/
Diálisis
/
Insuficiencia Renal
/
Hemodinámica
/
Unidades de Cuidados Intensivos
Límite:
Niño
/
Humanos
Idioma:
Inglés
Revista:
Kidney Research and Clinical Practice
Año:
2019
Tipo del documento:
Artículo
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