<p>As the complexities of children getting admitted to the pediatric intensive care unit (PICU) are increasing, so is the incidence of acute kidney injury (AKI) as well as the need for performing kidney replacement therapy (KRT). This necessitates special infrastructure as the standard extracorporeal therapy like haemodialysis is often not feasible in these children. Continuous kidney replacement therapy (CKRT) has become the KRT modality of choice in PICUs across high-income countries. Even in emerging economies like India, its use is increasing because of its advantages in critically sick children. This review article summarises the practical aspects of CKRT and serves as a concise guide for postgraduate trainees and intensivists working in the PICU.</p>

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Continuous Kidney Replacement Therapy in Pediatric Intensive Care: A Practical Guide for Clinicians

  • Deblina Dasgupta,
  • Rajiv Sinha,
  • Akash Deep

摘要

As the complexities of children getting admitted to the pediatric intensive care unit (PICU) are increasing, so is the incidence of acute kidney injury (AKI) as well as the need for performing kidney replacement therapy (KRT). This necessitates special infrastructure as the standard extracorporeal therapy like haemodialysis is often not feasible in these children. Continuous kidney replacement therapy (CKRT) has become the KRT modality of choice in PICUs across high-income countries. Even in emerging economies like India, its use is increasing because of its advantages in critically sick children. This review article summarises the practical aspects of CKRT and serves as a concise guide for postgraduate trainees and intensivists working in the PICU.