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Peritoneal Dialysis in Paediatric Acute Kidney Injury in Intensive Care Units: Prescription and Management
par djamila-djahida batouche, samedi 9 novembre 2024, 16:42
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Acute kidney injury (AKI) is defined by a rapid decrease in glomerular filtration 

rate, leading to disruption of physiological functions, including impaired excretion

of nitrogenous waste products, hydroelectrolytic disorders, and disturbance of 

acid-base balance. AKI is a major contributor to morbidity and mortality in severely

affected infants and children, and its treatment, apart from symptomatic, etiological 

treatment, involves renal replacement therapy (intermittent haemodialysis, haemodialfiltration,haemofiltration, and peritoneal dialysis). In paediatric intensive careunit, emergency peritoneal dialysis (PD) is often the only possible technique for renal replacement therapy. It is easy to set up by the intensive care anaesthetist, or paediatric surgeon and uses the mechanisms of diffusion and osmosis (ultrafiltration). The anatomical properties of the peritoneum enable water and solute exchange. Solutions in bag form are available in isotonic or hypertonic concentrations, and their use depends on the clinical indications. PD has many advantages over other dialysis techniques, but there are some complications inherent in PD that need to be addressed by therapeutic protocols
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[ Modifié: samedi 9 novembre 2024, 16:42 ]