Frequent hemodialysis in children.

Bradley A Warady, Michel Fischbach, Denis Geary, Stuart L Goldstein

Journal: Advances in chronic kidney disease 2007;14(3):297-303

PMID: 17603985

Full Text on Elsevier Science View on PubMed

Abstract

Frequent hemodialysis is currently conducted in a limited number of pediatric dialysis centers. However, the preliminary experience with children who have undergone procedures such as "daily" intensive hemodiafiltration and nocturnal hemodialysis has been positive, with the allowance for unrestricted diets and fluid intake, the lack of need for phosphate binders, excellent metabolic and blood pressure control, and, in the case of hemodiafiltration, excellent growth. The provision of frequent daily hemodialysis with the NxStage System has also recently been introduced to pediatrics. An overview about what is currently understood regarding the technical and clinical application of these approaches to therapy for children with end-stage renal disease form the basis for this article and highlight the impact of the procedures to date and the need for additional experience and collaborative data collection.

Address: The Children's Mercy Hospital, Kansas City, MO 64108, USA. [email protected]

DOI: 10.1053/j.ackd.2007.04.003

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MeSH Terms: Age Factors, Child, Child, Preschool, Female, Hemodiafiltration, Hemodialysis Solutions, Humans, Incidence, Kidney Failure, Chronic, Male, Night Care, Prognosis, Renal Dialysis, Risk Assessment, Treatment Outcome