Pediatric NephrologyPub Date : 2025-12-01Epub Date: 2025-05-16DOI: 10.1007/s00467-025-06792-4
Aadil Kakajiwala, Nivedita Kamath, Saudamini Nesargi, Lisa Goto, Suma Bhat Hoffman, Brianna Michelle Liberio, Jennifer A Rumpel, Mona Khattab, Arwa Nada, Christine Stoops, Sofia I Perazzo, Matthew W Harer
{"title":"The use of near-infrared spectroscopy to measure kidney oxygenation in the neonatal intensive care unit.","authors":"Aadil Kakajiwala, Nivedita Kamath, Saudamini Nesargi, Lisa Goto, Suma Bhat Hoffman, Brianna Michelle Liberio, Jennifer A Rumpel, Mona Khattab, Arwa Nada, Christine Stoops, Sofia I Perazzo, Matthew W Harer","doi":"10.1007/s00467-025-06792-4","DOIUrl":"10.1007/s00467-025-06792-4","url":null,"abstract":"<p><p>Near-infrared spectroscopy (NIRS) is a relatively recent technology, first applied in clinical contexts in the early 1970s. Critically ill neonates in the intensive care unit face unique post-natal adaptations that can be challenging when compounded by clinical co-morbidities. Given the size and limited blood volume of these patients, there is a need for non-invasive monitoring methods that go beyond traditional vital signs and laboratory assessments. NIRS offers a potential approach for monitoring regional tissue oxygenation and perfusion of the kidney with a potential for early detection of acute kidney injury in high-risk neonates. However, its application is not without challenges, including inconsistent normative values, technological and technique-related limitations, and uncertainties about its clinical applicability. Despite these challenges, NIRS monitoring of kidney oxygenation shows promise for supporting kidney health and informing clinical care decisions. In this educational review, we aim to outline the basic principles of NIRS as it relates to kidney oxygenation, summarize the current literature on its use for monitoring and clinical decision-making, discuss its limitations and knowledge gaps, and propose investigative approaches with future research directions.</p>","PeriodicalId":19735,"journal":{"name":"Pediatric Nephrology","volume":" ","pages":"3623-3635"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144086372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pediatric NephrologyPub Date : 2025-12-01Epub Date: 2025-09-08DOI: 10.1007/s00467-025-06946-4
Mamta Sengar, Niyaz Khan, Ashvin Damdoo
{"title":"Response to critical appraisal of \"Renal perfusion in dynamic scans: a key predictor of long-term outcomes in posterior urethral valves\".","authors":"Mamta Sengar, Niyaz Khan, Ashvin Damdoo","doi":"10.1007/s00467-025-06946-4","DOIUrl":"10.1007/s00467-025-06946-4","url":null,"abstract":"","PeriodicalId":19735,"journal":{"name":"Pediatric Nephrology","volume":" ","pages":"3841"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145023911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pediatric NephrologyPub Date : 2025-12-01Epub Date: 2025-05-26DOI: 10.1007/s00467-025-06835-w
Shree Rath
{"title":"Comment on: Erythropoietin resistance among pediatric patients on chronic hemodialysis: A cross-sectional study.","authors":"Shree Rath","doi":"10.1007/s00467-025-06835-w","DOIUrl":"10.1007/s00467-025-06835-w","url":null,"abstract":"","PeriodicalId":19735,"journal":{"name":"Pediatric Nephrology","volume":" ","pages":"3835-3836"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144143244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pediatric NephrologyPub Date : 2025-12-01Epub Date: 2025-06-16DOI: 10.1007/s00467-025-06849-4
Evan A Rajadhyaksha, Dana Y Fuhrman, Shina Menon, David T Selewski, Katja M Gist, Michelle C Starr
{"title":"Liberation from pediatric continuous kidney replacement therapy: a survey of provider perceptions and practices.","authors":"Evan A Rajadhyaksha, Dana Y Fuhrman, Shina Menon, David T Selewski, Katja M Gist, Michelle C Starr","doi":"10.1007/s00467-025-06849-4","DOIUrl":"10.1007/s00467-025-06849-4","url":null,"abstract":"","PeriodicalId":19735,"journal":{"name":"Pediatric Nephrology","volume":" ","pages":"3831-3833"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12435935/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144302668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pediatric NephrologyPub Date : 2025-12-01Epub Date: 2025-07-03DOI: 10.1007/s00467-025-06873-4
André Yaghyazaryan, Valentina Gracchi, Sybrand W J Zielhuis, Elisabeth H Schölvinck, Daan J Touw, Martin C J Kneyber, Paola Mian
{"title":"Effect of therapeutic plasma exchange on amoxicillin, clindamycin, midazolam, and morphine pharmacokinetics in a critically ill child.","authors":"André Yaghyazaryan, Valentina Gracchi, Sybrand W J Zielhuis, Elisabeth H Schölvinck, Daan J Touw, Martin C J Kneyber, Paola Mian","doi":"10.1007/s00467-025-06873-4","DOIUrl":"10.1007/s00467-025-06873-4","url":null,"abstract":"<p><p>We report a 15-year-old boy with severe septic shock and multiple organ failure, requiring intensive care and extracorporeal therapies, including veno-arterial extracorporeal membrane oxygenation, continuous veno-venous hemodiafiltration, and therapeutic plasma exchange. Given their critical role in the clinical management, pharmacokinetics of amoxicillin, clindamycin, midazolam, and morphine were closely monitored. Drug concentrations were measured before, during, and after therapeutic plasma exchange sessions. Despite theoretical predictions, clinically significant reductions in plasma drug concentrations of amoxicillin, clindamycin, and midazolam were observed following therapeutic plasma exchange. This case report emphasizes the necessity of therapeutic drug monitoring to adjust dosing appropriately and optimize patient outcomes.</p>","PeriodicalId":19735,"journal":{"name":"Pediatric Nephrology","volume":" ","pages":"3659-3662"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144554126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pediatric NephrologyPub Date : 2025-12-01Epub Date: 2025-08-04DOI: 10.1007/s00467-025-06928-6
Ahmad Shabbir, Fatima Shams, Muhammad Asim Agha
{"title":"Critical appraisal of \"Renal perfusion in dynamic scans: a key predictor of long-term outcomes in posterior urethral valves\".","authors":"Ahmad Shabbir, Fatima Shams, Muhammad Asim Agha","doi":"10.1007/s00467-025-06928-6","DOIUrl":"10.1007/s00467-025-06928-6","url":null,"abstract":"","PeriodicalId":19735,"journal":{"name":"Pediatric Nephrology","volume":" ","pages":"3839"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144784947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pediatric NephrologyPub Date : 2025-12-01Epub Date: 2025-05-01DOI: 10.1007/s00467-025-06738-w
Andrea Angeletti, Gian Marco Ghiggeri
{"title":"Anti-CD20 monoclonal antibodies for idiopathic nephrotic syndrome: Advances, challenges, and future directions.","authors":"Andrea Angeletti, Gian Marco Ghiggeri","doi":"10.1007/s00467-025-06738-w","DOIUrl":"10.1007/s00467-025-06738-w","url":null,"abstract":"","PeriodicalId":19735,"journal":{"name":"Pediatric Nephrology","volume":" ","pages":"3597-3600"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143992159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pediatric NephrologyPub Date : 2025-11-01Epub Date: 2025-06-30DOI: 10.1007/s00467-025-06886-z
Sadeeq Khan, Abdur Rehman, Waheed Khan
{"title":"Critical insights on post-infectious glomerulonephritis among children before and during the COVID-19 pandemic.","authors":"Sadeeq Khan, Abdur Rehman, Waheed Khan","doi":"10.1007/s00467-025-06886-z","DOIUrl":"10.1007/s00467-025-06886-z","url":null,"abstract":"","PeriodicalId":19735,"journal":{"name":"Pediatric Nephrology","volume":" ","pages":"3591"},"PeriodicalIF":2.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144529202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pediatric NephrologyPub Date : 2025-11-01Epub Date: 2025-03-27DOI: 10.1007/s00467-025-06752-y
Tahagod Mohamed, Nicole Asdell, Xia Ning, Jason G Newland, Matthew W Harer, Cara L Slagle, Michelle C Starr, John D Spencer, Francis P Wilson, David T Selewski, Jonathan L Slaughter
{"title":"Evidence-based risk stratification for neonatal acute kidney injury: a call to action.","authors":"Tahagod Mohamed, Nicole Asdell, Xia Ning, Jason G Newland, Matthew W Harer, Cara L Slagle, Michelle C Starr, John D Spencer, Francis P Wilson, David T Selewski, Jonathan L Slaughter","doi":"10.1007/s00467-025-06752-y","DOIUrl":"10.1007/s00467-025-06752-y","url":null,"abstract":"","PeriodicalId":19735,"journal":{"name":"Pediatric Nephrology","volume":" ","pages":"3335-3339"},"PeriodicalIF":2.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143720452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}