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Techniques de dialyse en réanimation pédiatrique [Acute renal replacement therapy in pediatrics]

Abstract : In pediatric intensive care unit, the available modalities of acute renal replacement therapy include intermittent hemodialysis, peritoneal dialysis and continuous renal replacement therapies. No prospective studies have evaluated to date the effect of dialysis modality on the outcomes of children. The decision about dialysis modality should therefore be based on local expertise, resources available, and the patient's clinical status. Poor hemodynamic tolerance of intermittent hemodialysis is a common problem in critically ill patients. Moreover, many pediatric intensive care units are not equipped with dedicated water circuit. Peritoneal dialysis, a simple and inexpensive alternative, is the most widely available form of acute renal replacement therapy. However, its efficacy may be limited in critically ill patients. The use of continuous renal replacement therapy permits usually to reach a greater estimated dialysis dose, a better control of fluid balance, and additionally, to provide adequate nutrition.
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Contributor : Laurent Jonchère Connect in order to contact the contributor
Submitted on : Wednesday, April 29, 2015 - 3:00:39 PM
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T. Gaillot, B. Ozanne, P. Bétrémieux, O. Tirel, C. Ecoffey. Techniques de dialyse en réanimation pédiatrique [Acute renal replacement therapy in pediatrics]. Annales Françaises d'Anesthésie et de Réanimation, Elsevier Masson, 2013, 32 (12), pp.e231--236. ⟨10.1016/j.annfar.2013.10.020⟩. ⟨hal-01147017⟩



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