TY - CHAP
T1 - Hemodialysis
AU - Preka, Evgenia
AU - Shroff, Rukshana
PY - 2022/1/1
Y1 - 2022/1/1
N2 - This chapter presents the available studies and discusses current clinical recommendations for hemodialysis (HD) in children. Conventional HD is characterized by three main principles: diffusion convention, and ultrafiltration. Hemodiafiltration utilizes a combination of diffusive and convective solute transport through a highly permeable membrane, thereby achieving clearance of middle molecular weight solutes unlike conventional HD. The main advantage for children while being on home HD are growth, improved cardiovascular control, and improved quality of life. The type and size of catheter, the catheter site, and the technique for insertion need to be considered in order to choose the right catheter for each patient. The most serious complications of conventional HD are severe intradialytic hypotension, dialysis disequilibrium syndrome, air embolism, hemolysis during dialysis, and bacteremia. The most common complications in HD patients, and although mild can be extremely distressing for children, are cramps, headaches, nausea, and dialysis-related hypertension.
AB - This chapter presents the available studies and discusses current clinical recommendations for hemodialysis (HD) in children. Conventional HD is characterized by three main principles: diffusion convention, and ultrafiltration. Hemodiafiltration utilizes a combination of diffusive and convective solute transport through a highly permeable membrane, thereby achieving clearance of middle molecular weight solutes unlike conventional HD. The main advantage for children while being on home HD are growth, improved cardiovascular control, and improved quality of life. The type and size of catheter, the catheter site, and the technique for insertion need to be considered in order to choose the right catheter for each patient. The most serious complications of conventional HD are severe intradialytic hypotension, dialysis disequilibrium syndrome, air embolism, hemolysis during dialysis, and bacteremia. The most common complications in HD patients, and although mild can be extremely distressing for children, are cramps, headaches, nausea, and dialysis-related hypertension.
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85189250425&origin=inward
U2 - 10.1002/9781119105954.ch66
DO - 10.1002/9781119105954.ch66
M3 - Chapter
SN - 9781119105923
VL - 2
T3 - Evidence-Based Nephrology, Second Edition: Volumes 1,2
SP - 412
EP - 425
BT - Evidence-Based Nephrology, Second Edition: Volumes 1,2
PB - Wiley
ER -