Monitoring dialysis adequacy: history and current practice.
Dialysis adequacy for pediatric patients has largely followed the trends in adult dialysis by judging the success or adequacy of peritoneal or hemodialysis with urea kinetic modeling. While this provides a starting point to establish a dose of dialysis, it is clear that urea is only part of the pict...
| Publicado en: | Pediatric Nephrology Vol. 36; no. 8; pp. 2265 - 2278 |
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| Autores principales: | , , |
| Formato: | equations & formulas review tables/charts Journal Article |
| Publicado: |
Springer Nature
Aug2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=151271284&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 151271284 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 0931041X EF1 jtl: Pediatric Nephrology issn: 0931041X maglogo: N pubinfo: dt: Aug2021 vid: 36 iid: 8 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 151271284 147921260 151271284 151271284 10.1007/s00467-020-04816-9 151271284 ppf: 2265 ppct: 13 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Monitoring dialysis adequacy: history and current practice. aug: au: Ding, Linda Johnston, James Pinsk, Maury N. affil: Department of Pediatrics and Child Health, University of Manitoba, Rady College of Medicine, Winnipeg, Manitoba, Canada sug: subj: Dialysis History Monitoring, Physiologic Dialysis Methods Urea Metabolism Metabolic Clearance Rate Kidney Failure, Chronic Mortality Quality of Life ab: Dialysis adequacy for pediatric patients has largely followed the trends in adult dialysis by judging the success or adequacy of peritoneal or hemodialysis with urea kinetic modeling. While this provides a starting point to establish a dose of dialysis, it is clear that urea is only part of the picture. Many clinical parameters and interventions now have been identified that are just as impactful on mortality and morbidly as urea clearance. As such, our concept of adequacy is evolving to include non-urea parameters and assessing the impact that following an "adequate therapy" has on patient lives. As we move to a new era, we consider the impact these therapies have on patients and how it affects the quality of their lives; we must take these factors into consideration to achieve a therapy that is not just adequate, but livable. pubtype: Academic Journal doctype: equations & formulas review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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