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Dialysis and pediatric acute kidney injury: choice of renal support modality
Dialytic intervention for infants and children with acute kidney injury (AKI) can take many forms. Whether patients are treated by intermittent hemodialysis, peritoneal dialysis or continuous renal replacement therapy depends on specific patient characteristics. Modality choice is also determined by...
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Formato: | Texto |
Lenguaje: | English |
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Springer Berlin Heidelberg
2009
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2755787/ https://www.ncbi.nlm.nih.gov/pubmed/18483748 http://dx.doi.org/10.1007/s00467-008-0826-x |
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author | Walters, Scott Porter, Craig Brophy, Patrick D. |
author_facet | Walters, Scott Porter, Craig Brophy, Patrick D. |
author_sort | Walters, Scott |
collection | PubMed |
description | Dialytic intervention for infants and children with acute kidney injury (AKI) can take many forms. Whether patients are treated by intermittent hemodialysis, peritoneal dialysis or continuous renal replacement therapy depends on specific patient characteristics. Modality choice is also determined by a variety of factors, including provider preference, available institutional resources, dialytic goals and the specific advantages or disadvantages of each modality. Our approach to AKI has benefited from the derivation and generally accepted defining criteria put forth by the Acute Dialysis Quality Initiative (ADQI) group. These are known as the risk, injury, failure, loss, and end-stage renal disease (RIFLE) criteria. A modified pediatrics RIFLE (pRIFLE) criteria has recently been validated. Common defining criteria will allow comparative investigation into therapeutic benefits of different dialytic interventions. While this is an extremely important development in our approach to AKI, several fundamental questions remain. Of these, arguably, the most important are “When and what type of dialytic modality should be used in the treatment of pediatric AKI?” This review will provide an overview of the limited data with the aim of providing objective guidelines regarding modality choice for pediatric AKI. Comparisons in terms of cost, availability, safety and target group will be reviewed. |
format | Text |
id | pubmed-2755787 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2009 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-27557872009-10-07 Dialysis and pediatric acute kidney injury: choice of renal support modality Walters, Scott Porter, Craig Brophy, Patrick D. Pediatr Nephrol Educational Review Dialytic intervention for infants and children with acute kidney injury (AKI) can take many forms. Whether patients are treated by intermittent hemodialysis, peritoneal dialysis or continuous renal replacement therapy depends on specific patient characteristics. Modality choice is also determined by a variety of factors, including provider preference, available institutional resources, dialytic goals and the specific advantages or disadvantages of each modality. Our approach to AKI has benefited from the derivation and generally accepted defining criteria put forth by the Acute Dialysis Quality Initiative (ADQI) group. These are known as the risk, injury, failure, loss, and end-stage renal disease (RIFLE) criteria. A modified pediatrics RIFLE (pRIFLE) criteria has recently been validated. Common defining criteria will allow comparative investigation into therapeutic benefits of different dialytic interventions. While this is an extremely important development in our approach to AKI, several fundamental questions remain. Of these, arguably, the most important are “When and what type of dialytic modality should be used in the treatment of pediatric AKI?” This review will provide an overview of the limited data with the aim of providing objective guidelines regarding modality choice for pediatric AKI. Comparisons in terms of cost, availability, safety and target group will be reviewed. Springer Berlin Heidelberg 2009-01-01 2009 /pmc/articles/PMC2755787/ /pubmed/18483748 http://dx.doi.org/10.1007/s00467-008-0826-x Text en © IPNA 2008 This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. |
spellingShingle | Educational Review Walters, Scott Porter, Craig Brophy, Patrick D. Dialysis and pediatric acute kidney injury: choice of renal support modality |
title | Dialysis and pediatric acute kidney injury: choice of renal support modality |
title_full | Dialysis and pediatric acute kidney injury: choice of renal support modality |
title_fullStr | Dialysis and pediatric acute kidney injury: choice of renal support modality |
title_full_unstemmed | Dialysis and pediatric acute kidney injury: choice of renal support modality |
title_short | Dialysis and pediatric acute kidney injury: choice of renal support modality |
title_sort | dialysis and pediatric acute kidney injury: choice of renal support modality |
topic | Educational Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2755787/ https://www.ncbi.nlm.nih.gov/pubmed/18483748 http://dx.doi.org/10.1007/s00467-008-0826-x |
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