Related Experiment Video

Updated: Sep 26, 2025

A Retrograde Implantation Approach for Peritoneal Dialysis Catheter Placement in Mice
06:27

A Retrograde Implantation Approach for Peritoneal Dialysis Catheter Placement in Mice

Published on: July 20, 2022

2.7K

Acute intermittent hemodialysis management in childhood: A single center experience

Tülin Güngör1, Evrim Kargın Çakıcı1, Fatma Yazılıtaş1

  • 1Department of Pediatric Nephrology, Dr. Sami Ulus Maternity and Child Health and Diseases Training and Research Hospital, Ankara, Turkey.

Therapeutic Apheresis and Dialysis : Official Peer-Reviewed Journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy
|April 18, 2022
PubMed

Insights

Glomerular diseases are the primary cause of acute kidney injury (AKI) in children requiring acute intermittent hemodialysis (IHD). These conditions significantly increase the risk of progressing to chronic kidney disease (CKD).

Area of Science:

  • Pediatric Nephrology
  • Renal Medicine
  • Critical Care

Background:

  • Acute intermittent hemodialysis (IHD) is a critical treatment for pediatric patients with acute kidney injury (AKI).
  • Understanding the indications, characteristics, and outcomes of IHD in children is essential for optimizing care.

Purpose of the Study:

  • To identify common indications for acute IHD in pediatric patients.
  • To analyze the procedure's characteristics, associated complications, and patient prognosis.
  • To investigate the etiological factors contributing to AKI in children.

Main Methods:

  • A retrospective study involving 102 pediatric patients (0-18 years) requiring acute dialysis.
  • Patients were treated with IHD for acute kidney injury.
  • Data on AKI etiology, treatment, complications, and outcomes were collected and analyzed.

Main Results:

  • Glomerular diseases accounted for 56% of AKI etiologies in the studied pediatric population.
  • A significant association (p=0.01) was found between glomerular disease and the risk of progression to chronic kidney disease (CKD).
  • 8.6% of surviving patients progressed to end-stage renal disease.

Conclusions:

  • Glomerular diseases are the leading cause of AKI in children requiring IHD.
  • Glomerular disease is an independent risk factor for progression to CKD in pediatric patients, irrespective of age, gender, or timing of renal replacement therapy initiation.
Abstract

Keywords:
acute kidney injurychildhoodglomerular diseasesintermittent hemodialysis

More Related Videos

A Murine Model of Hemodialysis Access-Related Hand Dysfunction08:39

A Murine Model of Hemodialysis Access-Related Hand Dysfunction

Published on: May 31, 2022

1.8K
Continuous Manual Exchange Transfusion for Patients with Sickle Cell Disease: An Efficient Method to Avoid Iron Overload05:23

Continuous Manual Exchange Transfusion for Patients with Sickle Cell Disease: An Efficient Method to Avoid Iron Overload

Published on: March 14, 2017

19.7K

Related Concept Videos

Hemodialysis I: Introduction01:25

Hemodialysis I: Introduction

Hemodialysis (HD) is a medical treatment that artificially removes waste products, excess fluids, and toxins from the blood when the kidneys are no longer able to perform these functions effectively. In this process, blood is filtered through a semipermeable membrane, allowing for the selective removal of waste while preserving necessary components like blood cells and proteins. Hemodialysis is typically performed in patients with end-stage renal disease (ESRD) or severe kidney...
336
Hemodialysis III: Nursing Management01:25

Hemodialysis III: Nursing Management

The nursing management of a patient undergoing hemodialysis includes several critical steps, starting with a thorough assessment before the procedure.Before the Hemodialysis ProcedureFirst, record the patient's vital signs—blood pressure, heart rate, respiratory rate, and temperature—to establish a baseline. This baseline is essential for detecting conditions such as hypotension that could impact the patient's response to dialysis. Document the patient's pre-dialysis weight, as this...
232
Hemodialysis II: Procedure and Complications01:24

Hemodialysis II: Procedure and Complications

DialyzersA hemodialysis (HD) dialyzer is a plastic cartridge containing thousands of parallel hollow fibers, which serve as semipermeable membranes. These fibers are typically made from cellulose-based or other synthetic materials. During HD, blood is pumped into the top of the cartridge and distributed among these fibers. Simultaneously, dialysis fluid, known as dialysate, is introduced into the bottom of the cartridge, bathing the outside of the fibers. Across the semipermeable membrane,...
158
Acute Kidney Injury V: Interprofessional Care01:20

Acute Kidney Injury V: Interprofessional Care

Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
54
Continuous Renal Replacement Therapy01:30

Continuous Renal Replacement Therapy

Continuous Renal Replacement Therapy, also known as CRRT, is a procedural treatment for acute kidney injury (AKI) that gradually removes uremic toxins and fluids while maintaining acid-base balance and stabilizing electrolytes. It is particularly useful for hemodynamically unstable patients. Unlike intermittent hemodialysis, which is faster, CRRT provides a gentler approach over 24 hours, closely mimicking the function of natural kidneys. However, CRRT is not ideal for patients with...
159
Chronic Kidney Disease III: Interprofessional Care01:28

Chronic Kidney Disease III: Interprofessional Care

Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
92