{"title":"Continuous Renal Replacement Therapy in Children.","authors":"Maha Haddad, Lavjay Butani","doi":"10.1007/s13312-025-00026-4","DOIUrl":null,"url":null,"abstract":"<p><p>Continuous renal replacement (CRRT) therapies are a valuable addition to the dialytic armamentarium, and that, through gentler fluid removal and solute clearance, are better tolerated in critically ill children who are in need of dialysis. CRRT is technically demanding and resource intensive, and its use can be associated with many complications. There are many different modalities of CRRT, each of which employ varying combinations of convective and diffuse solute removal and ultrafiltration. CRRT is performed using specialized devices with their own unique dialysis filters and options for different circuit anticoagulation modalities. Because of the complexities inherent in the choice of CRRT and the monitoring involved, CRRT must be performed an intensive care unit setting, using a multidisciplinary team approach.</p>","PeriodicalId":13291,"journal":{"name":"Indian pediatrics","volume":"62 4","pages":"295-299"},"PeriodicalIF":1.7000,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12006231/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Indian pediatrics","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s13312-025-00026-4","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PEDIATRICS","Score":null,"Total":0}
引用次数: 0
Abstract
Continuous renal replacement (CRRT) therapies are a valuable addition to the dialytic armamentarium, and that, through gentler fluid removal and solute clearance, are better tolerated in critically ill children who are in need of dialysis. CRRT is technically demanding and resource intensive, and its use can be associated with many complications. There are many different modalities of CRRT, each of which employ varying combinations of convective and diffuse solute removal and ultrafiltration. CRRT is performed using specialized devices with their own unique dialysis filters and options for different circuit anticoagulation modalities. Because of the complexities inherent in the choice of CRRT and the monitoring involved, CRRT must be performed an intensive care unit setting, using a multidisciplinary team approach.
期刊介绍:
The general objective of Indian Pediatrics is "To promote the science and practice of Pediatrics." An important guiding principle has been the simultaneous need to inform, educate and entertain the target audience. The specific key objectives are:
-To publish original, relevant, well researched peer reviewed articles on issues related to child health.
-To provide continuing education to support informed clinical decisions and research.
-To foster responsible and balanced debate on controversial issues that affect child health, including non-clinical areas such as medical education, ethics, law, environment and economics.
-To achieve the highest level of ethical medical journalism and to produce a publication that is timely, credible and enjoyable to read.