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Monitoring and maintaining quality in the paediatric haemodialysis unit.

Chronic kidney disease in children is being increasingly recognised and reported worldwide, and the focus of paediatric dialysis planning has changed from acute care alone to encompass chronic care. In many parts of the world, haemodialysis for children is performed in adult units and is based on st...

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Published in:Pediatric Nephrology Vol. 40; no. 4; pp. 909 - 922
Main Authors: Uthup, Susan, Balan, Satish, Lobo, Valentine
Format: pictorial review tables/charts Journal Article
Published: Springer Nature Apr2025
Online Access:View this record in EBSCOhost
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      dt: Apr2025
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00467-024-06559-3
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        atl: Monitoring and maintaining quality in the paediatric haemodialysis unit.
      aug:
        au:
          Uthup, Susan
          Balan, Satish
          Lobo, Valentine
        affil: https://ror.org/026b7da27 SAT Hospital, Government Medical College, Thiruvananthapuram, Kerala, India
      sug:
        subj:
          Kidney Failure, Chronic Therapy
          Kidney Failure, Chronic Therapy
          Hemodialysis Methods
          Hemodialysis Methods
          Monitoring, Physiologic
          Quality of Health Care
          Dialysis Centers
          Acute Care
          Child
          Adolescence
          Adult
          Fluid Therapy
          Environment
          Disposable Equipment
          Clinical Indicators
          Child: 6-12 years
          Adolescent: 13-18 years
          Adult: 19-44 years
      ab: Chronic kidney disease in children is being increasingly recognised and reported worldwide, and the focus of paediatric dialysis planning has changed from acute care alone to encompass chronic care. In many parts of the world, haemodialysis for children is performed in adult units and is based on standards established for adults. This review proposes standards for paediatric haemodialysis, incorporating special requirements for children while simultaneously drawing from the adult experience. We discuss the optimum requirements, including space utilisation, equipment needed, water treatment facilities, disposables, safety standards, staffing needs, monitoring and maintenance, infection prevention, waste disposal and quality indicators. We also review recent advancements in the field that should be incorporated into future dialysis units and the steps required for achieving carbon neutrality and protecting the environment.
      pubtype: Academic Journal
      doctype:
        pictorial
        review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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