Management of Acute Kidney Injury in Critically Ill Children
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Date
2023-05
Journal Title
Journal ISSN
Volume Title
Publisher
Dr. K C Chaudhuri Foundation
Abstract
Acute kidney injury (AKI) is common in critically ill patients, afecting almost one in four critically ill children and one in three neonates. Higher stages of AKI portend worse outcomes. Identifying AKI timely and instituting appropriate measures to prevent and manage severe AKI is important, since it is independently associated with mortality. Methods to predict severe AKI should be applied to all critically ill patients. Assessment of volume status to prevent the development of fuid overload is useful to prevent adverse outcomes. Patients with metabolic or clinical complications of AKI need prompt kidney replacement therapy (KRT). Various modes of KRT are available, and the choice of modality depends most on the technical competence of the center, patient size, and hemodynamic stability. Given the signifcant risk of chronic kidney disease, patients with AKI require long-term follow-up. It is important to focus on improving awareness about AKI, incorporate AKI prevention as a quality initiative, and improve detection, prevention, and management of AKI with the aim of reducing acute and long-term morbidity and mortality
Description
Keywords
Kidney replacement therapy, Dialysis, Pediatric, AKI
Citation
Krishnasamy Sudarsan, Sinha Aditi, Bagga Arvind. Management of Acute Kidney Injury in Critically Ill Children. Indian Journal of Pediatrics. 2023 May; 90(5): 481–491