Chapter 66
Hemodialysis
Evgenia Preka,
Rukshana Shroff,
Evgenia Preka
Southampton Children's Hospital, University Hospital Southampton NHS Foundation Trust, Southampton, UK
Search for more papers by this authorRukshana Shroff
Great Ormond Street Hospital for Children, NHS Foundation Trust, London, UK
Search for more papers by this authorEvgenia Preka,
Rukshana Shroff,
Evgenia Preka
Southampton Children's Hospital, University Hospital Southampton NHS Foundation Trust, Southampton, UK
Search for more papers by this authorRukshana Shroff
Great Ormond Street Hospital for Children, NHS Foundation Trust, London, UK
Search for more papers by this authorBook Editor(s):Jonathan C. Craig MBChB, DipCH, MMed(Clin Epi), PhD, FAHMS,
Donald A. Molony MD,
Giovanni F.M. Strippoli MD, PhD, MPH, MM (Epi),
Jonathan C. Craig MBChB, DipCH, MMed(Clin Epi), PhD, FAHMS
Matthew Flinders Distinguished Professor Vice President and Executive Dean
College of Medicine and Public Health, Flinders University, Adelaide, Australia
Search for more papers by this authorDonald A. Molony MD
Professor of Medicine Distinguished Teaching Professor of the University of Texas System
Division of Renal Diseases and Hypertension AND Center for Clinical Research and Evidence-based Medicine, McGovern Medical School University of Texas, Houston, TX, USA
Search for more papers by this authorGiovanni F.M. Strippoli MD, PhD, MPH, MM (Epi)
Professor of Nephrology Adjunct Professor of Epidemiology
Department of Emergency and Organ Transplantation – University of Bari, Bari, Italy
School of Public Health, University of Sydney, Sydney, NSW, Australia
Search for more papers by this authorFirst published: 18 November 2022
Summary
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.
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Preka , E.
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Shroff , R.
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2018
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Critical Care Nephrology and Renal Replacement Therapy in Children
.
Springer International Publishing AG, part of Springer Nature
: Chapter 18: Haemodialysis.
A Deep
,
S L. Goldstein
(eds), pp.
271
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289
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10.1007/978-3-319-90281-4_18 Google Scholar
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