When do children need kidney replacement therapy?

Kidney replacement therapy (KRT) can provide lifesaving support for children with severely impaired kidney function. The decision about who needs KRT and when is often complex. Many acute kidney problems will resolve with conservative maanagemenent but some children with chronic or acute kidney impa...

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Bibliographic Details
Published in:Paediatrics and child health 2020-09, Vol.30 (9), p.313-318
Main Authors: Bansal, Jascharanpreet, Hayes, Wesley
Format: Article
Language:English
Subjects:
acute kidney injury
children
dialysis
end stage kidney disease
kidney replacement therapy
kidney transplant
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Summary:Kidney replacement therapy (KRT) can provide lifesaving support for children with severely impaired kidney function. The decision about who needs KRT and when is often complex. Many acute kidney problems will resolve with conservative maanagemenent but some children with chronic or acute kidney impairment will find themselves in a position where KRT is required either as a bridge to recovery or kidney transplantation. Less commonly, children with metabolic disorders may find that the ability of their own kidneys is overwhelmed by excessive production of certain metabolites. These children may also benefit from short term KRT. This article aims to help paediatricians in training understand which children need kidney replacement therapy, the various types of treatment available, and when they are used.
ISSN:1751-7222
1878-206X
1751-7222
DOI:10.1016/j.paed.2020.06.006