Renal Dysfunction in the Pediatric Surgical Patient: When to Intervene
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In brief
In brief
Reviews acute renal dysfunction management in critically ill pediatric surgical patients, covering staging criteria, indications for renal replacement therapy, and treatment modalities. Discusses complications of dialysis interventions and both short- and long-term outcomes across pediatric age groups from neonates to adolescents.
Written by the GCMD Library team from the article.
Publication date: Available online 18 January 2019
Source: Seminars in Pediatric Surgery
Author(s): Denise B. Klinkner, Sabina Siddiqui, APSA Surgical Critical Care Committee
Abstract
Renal dysfunction is very common in the pediatric surgical critical care patient, with an estimated incidence of up to 35% in the PICU population. It impacts multiple other organ systems, particularly ventilation, and adds to the morbidity and mortality in children with multisystem organ dysfunction. In this article, we review the definitions and stages of renal failure in the pediatric population, identify which of these are more likely to require renal replacement therapy, and identify the indications for the different types of intervention. In addition, the complications of each form of therapy, along with management options, will be discussed. Finally, we will discuss the immediate and long-term outcomes for pediatric patients from neonates to adolescents.