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SYMPOSIUM
Year : 2018  |  Volume : 5  |  Issue : 2  |  Page : 64-68

Principles of Renal Replacement Therapy in Critically ill children-Indian Perspective


1 Senior Consultant, Pediatric Nephrology & Pediatric Kidney Transplantation, Kidney and Urology Institute, Medanta, The Medicity Hospital, Gurgaon, India
2 Assistant Professor, Department of Pediatrics, All India Institute of Medical Sciences (AIIMS), Jodhpur, India
3 Consultant Nephrologist, Adult-Pediatric Kidney Disease/Hypertension, Department of Nephrology, Director of Medical Research in Internal Medicine, Internal Medicine Residency Program, Cleveland Clinic, Akron General and Staff at Akron Children's Hospital, Associate Professor and Council Member for University Council of Internal Medicine, Northeast Ohio, Medical University, Faculty Staff at Case Western Reserve University School of Medicine, Cleveland, Ohio, USA
4 Sr. Consultant Pediatric Intensivist, The Medicity Hospital, Gurgaon, India

Correspondence Address:
Sidharth Kumar Sethi
Senior Consultant, Pediatric Nephrology & Pediatric Kidney Transplantation, Kidney and Urology Institute, Medanta, The Medicity Hospital, Gurgaon, India. Secretary- Indian Society of Pediatric Nephrology
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.21304/2018.0502.00376

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Life threatening complications of dyselectrolytemia, uremia and fluid overload may be prevented by early initiation of Renal Replacement Therapy(RRT).Hemodialysis and Peritoneal dialysis are the modalities available. Hemodialysis is intermittent therapy, even when prolonged beyond the standard 4-hr prescription. Continuous renal replacement therapy (CRRT) is defined as any extracorporeal blood purification therapy intended to substitute for acutely impaired renal function over an extended period of time and prescribed continuously for >24-h.Timely initiation of RRT for AKI in children with fluid overload and sepsis is considered useful in enabling recovery.


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