Related Experiment Video
Updated: Jun 9, 2025
Measurement of Tissue Oxygenation Using Near-Infrared Spectroscopy in Patients Undergoing Hemodialysis
Published on: October 2, 2020
Monitoring and maintaining quality in the paediatric haemodialysis unit
Susan Uthup1, Satish Balan2, Valentine Lobo3
1SAT Hospital, Government Medical College, Thiruvananthapuram, Kerala, India. Uthupsusan5@gmail.com.
Insights
This review proposes new standards for pediatric hemodialysis (HD), addressing the unique needs of children and incorporating adult best practices for chronic kidney disease care.
Area of Science:
- Pediatric Nephrology
- Renal Replacement Therapy
Background:
- Chronic kidney disease (CKD) in children is a growing global health concern.
- Pediatric dialysis planning is shifting towards chronic care models.
- Current pediatric hemodialysis often occurs in adult units with adult-centric standards.
Purpose of the Study:
- To propose comprehensive standards for pediatric hemodialysis.
- To integrate specific pediatric requirements with established adult hemodialysis protocols.
- To guide the development of specialized pediatric dialysis facilities.
Main Methods:
- Review of existing adult hemodialysis standards.
- Identification of unique physiological and developmental needs of pediatric patients.
- Discussion of optimal requirements for pediatric dialysis units.
Main Results:
- Detailed recommendations cover space, equipment, water treatment, disposables, and safety.
- Essential elements include staffing, monitoring, infection control, waste management, and quality indicators.
- Incorporation of recent advancements and environmental considerations like carbon neutrality is discussed.
Conclusions:
- Establishing dedicated pediatric hemodialysis standards is crucial for optimal CKD care in children.
- These standards should balance specialized pediatric needs with adult best practices.
- Future units should integrate advanced technologies and sustainable environmental practices.
Abstract:
Chronic kidney disease in children is being increasingly recognised and reported worldwide, and the focus of paediatric dialysis planning has changed from acute care alone to encompass chronic care. In many parts of the world, haemodialysis for children is performed in adult units and is based on standards established for adults. This review proposes standards for paediatric haemodialysis, incorporating special requirements for children while simultaneously drawing from the adult experience. We discuss the optimum requirements, including space utilisation, equipment needed, water treatment facilities, disposables, safety standards, staffing needs, monitoring and maintenance, infection prevention, waste disposal and quality indicators. We also review recent advancements in the field that should be incorporated into future dialysis units and the steps required for achieving carbon neutrality and protecting the environment.
Related Concept Videos
01:27Dialysis
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
01:20Rheumatic Heart Disease IV: Nursing Management
01:27Parentral Nutrition: Centeral and Peripheral Parental Nutrition
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
01:30Pulse rhythm
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
01:22Healthcare Associated Infections II: Preventive Measures
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
01:17Factors Affecting Renal Clearance: Renal Impairment
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...