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Renal Replacement Therapy in Children 

Renal Replacement Therapy in Children
Chapter:
Renal Replacement Therapy in Children
Author(s):

Michael L. Moritz

DOI:
10.1093/med/9780190225537.003.0021
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date: 03 June 2020

There are various options for renal replacement therapy (RRT) in children. The type of RRT largely depends on the child’s size, the reason for initiating therapy, and the equipment and expertise available at an institution. Acute RRT is not nearly as often performed in children as it is in adults, and not all RRT’s are available at each pediatric center. Peritoneal dialysis is the most widely available RRT, performed at almost all pediatrics centers. Intermittent hemodialysis is also widely available, but many centers do not have the expertise or equipment to dialyze infants or neonates. Continuous veno-venous hemofiltration (CVVH) is becoming more available at pediatric centers, but is primarily offered at large pediatric tertiary care centers. RRT in the large child or adolescent (> 50 kg) is no different than in adults. The focus of this section will be to discuss renal replacement therapy as it pertains to infants and small children. A complete discussion of renal replacement therapies can be found elsewhere in this manual.

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