Hemodialysis in Infants: Challenges and New Paradigms

Hemodialysis has become a routine procedure in the management of acute kidney injury and as a bridge therapy for chronic kidney disease before transplantation (1). Hemodialysis poses several challenges in infants because of the inherently low intravascular volume. The rapid shifts in intravascular and third space volume at the time of hemodialysis might result in hypovolemia and shock. Hence, peritoneal dialysis, a safer modality that provides more gradual, steady, and predictable clearance, is preferred in neonates and infants.
Source: Journal of Vascular and Interventional Radiology : JVIR - Category: Radiology Authors: Tags: Commentary Source Type: research