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[Dialysis treatment of infants with end stage failure]

Heidi Vihovde Sandvig1, Alice Gustavsen, Rønnaug Solberg

  • 1Det medisinske fakultet, Universitet i Oslo.

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|December 1, 2007
PubMed

Insights

Long-term dialysis is now a viable treatment for infants with end-stage renal failure, serving as a crucial bridge to kidney transplantation. This approach, involving peritoneal dialysis or haemodialysis, offers a lifesaving alternative for infants with chronic kidney disease.

Area of Science:

  • Pediatric Nephrology
  • Renal Replacement Therapy

Background:

  • End-stage renal failure in infants is a rare condition.
  • Previously considered untreatable, advancements now enable life-saving interventions.
  • Renal replacement therapy and dialysis techniques have improved significantly.

Purpose of the Study:

  • To present and evaluate long-term dialysis in infants with end-stage renal failure.
  • To compare outcomes with other dialysis centers.
  • To establish dialysis as a feasible bridge to transplantation.

Main Methods:

  • Case study of three infants with end-stage renal failure shortly after birth.
  • Treatment involved long-term dialysis as a bridge to kidney transplantation.
  • Comparison of results with data from other dialysis centers.

Main Results:

  • All three infants were successfully dialyzed until transplantation.
  • Two patients received peritoneal dialysis, and one received haemodialysis.
  • Complications were infrequent and manageable, aligning with previous research.

Conclusions:

  • Long-term dialysis for infants with chronic renal failure is a proven alternative to experimental treatment.
  • Dialysis serves as a critical bridge until transplantation is feasible.
  • Treatment success is influenced by co-morbidity and requires a multidisciplinary team and parental cooperation.
Abstract

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