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Pediatric Dialysis

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8 papers 0 to 25 followers
By P O Pediatrics, Nephrology
Peter Nourse, Gina Sinclair, Priya Gajjar, Mandi du Plessis, Andrew Charles Argent
BACKGROUND: Criticism against the use of acute peritoneal dialysis (PD) has been its low clearance and low ultrafiltration (UF) volumes compared to extracorporeal techniques. The aim of our study was to determine whether continuous flow peritoneal dialysis (CFPD) would improve UF in children with acute kidney injury (AKI) in cases where UF on conventional PD was inadequate using 4.25 % glucose concentrations. METHODS: Five infants were prospectively studied. All had AKI with fluid overload...
July 2016: Pediatric Nephrology: Journal of the International Pediatric Nephrology Association
Alexander Reshetnik, Christian Scheurig-Muenkler, Markus van der Giet, Markus Tölle
A young patient develops cerebral posttransplant lymphoproliferative disorder. Despite concurrent significantly impaired transplant kidney function use of add-on high-flux hemodialysis for additional clearance made the administration of high-dose methotrexate feasible in this patient without occurence of acute chronic kidney failure and significant hematological toxicity.
November 2015: Clinical Case Reports
Nia Fraser, Farida K Hussain, Roy Connell, Manoj U Shenoy
The incidence of end-stage renal disease in children is increasing. Peritoneal dialysis (PD) is the modality of choice in many European countries and is increasingly applied worldwide. PD enables children of all ages to be successfully treated while awaiting the ultimate goal of renal transplantation. The advantages of PD over other forms of renal replacement therapy are numerous, in particular the potential for the child to lead a relatively normal life. Indications for commencing PD, the rationale, preparation of family, technical aspects, and management of complications are discussed...
2015: International Journal of Nephrology and Renovascular Disease
Marike B Stadermann, Esther Rusthoven, Nicole C A J van de Kar, Anke Hendriksen, Leo A H Monnens, Cornelis H Schröder
No abstract text is available yet for this article.
January 2002: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
David A Bushinsky, Gordon H Williams, Bertram Pitt, Matthew R Weir, Mason W Freeman, Dahlia Garza, Yuri Stasiv, Elizabeth Li, Lance Berman, George L Bakris
Patients with chronic kidney disease (CKD) have a high risk of hyperkalemia, which increases mortality and can lead to renin-angiotensin-aldosterone system inhibitor (RAASi) dose reduction or discontinuation. Patiromer, a nonabsorbed potassium binder, has been shown to normalize serum potassium in patients with CKD and hyperkalemia on RAASi. Here, patiromer's onset of action was determined in patients with CKD and hyperkalemia taking at least one RAASi. After a 3-day potassium- and sodium-restricted diet in an inpatient research unit, those with sustained hyperkalemia (serum potassium 5...
December 2015: Kidney International
Malcolm G Coulthard, Jean Crosier, Clive Griffiths, Jon Smith, Michael Drinnan, Mike Whitaker, Robert Beckwith, John N S Matthews, Paul Flecknell, Heather J Lambert
BACKGROUND: To compare the efficacy of the Newcastle infant dialysis and ultrafiltration system (Nidus) with peritoneal dialysis (PD) and conventional haemodialysis (HD) in infants weighing <8 kg. METHODS: We compared the urea, creatinine and phosphate clearances, the ultrafiltration precision, and the safety of the Nidus machine with PD in 7 piglets weighing 1-8 kg, in a planned randomised cross-over trial in babies, and in babies for whom no other therapy existed, some of whom later graduated to conventional HD...
October 2014: Pediatric Nephrology: Journal of the International Pediatric Nephrology Association
Francesco Garzotto, Monica Zanella, Claudio Ronco
The provision of continuous renal replacement therapies (CRRT) to small children has generally required the adaptation of adult machines and modified operational characteristics. CRRT prescription for younger and smaller children versus adults differs significantly due to problems concerning the extracorporeal blood volume, the need for circuit blood priming, and the adaptation of machines designed for adult-sized patients. Moreover, the provision of renal replacement therapy to infants and neonates presents a unique problem: no more than 10-15% of their blood volume should be removed by the extracorporeal circuit to prevent hypotension and anemia...
2014: Nephron. Clinical Practice
Wiebke Aulbert, Markus J Kemper
Nowadays most renal disorders, especially urinary tract malformations and renal cystic disease, are diagnosed antenatally. In cases of severe bilateral disease, intrauterine renal dysfunction may lead to renal oligohydramnios (ROH), resulting in pulmonary hypoplasia which affects perinatal mortality and morbidity as well as the long-term outcome. However, some infants may only have mild pulmonary and renal disease, and advances in postnatal and dialysis treatment have resulted in improved short- and long-term outcome even in those infants with severe ROH...
April 2016: Pediatric Nephrology: Journal of the International Pediatric Nephrology Association
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