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Hemodialysis in neonates and infants: A systematic review
Author(s) -
Raina Rupesh,
Vijayaraghavan Prashanth,
Kapur Gaurav,
Sethi Sidharth Kumar,
Krishnappa Vinod,
Kumar Deepak,
Bunchman Timothy E.,
Bolen Shari D,
Chand Deepa
Publication year - 2017
Publication title -
seminars in dialysis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.899
H-Index - 78
eISSN - 1525-139X
pISSN - 0894-0959
DOI - 10.1111/sdi.12657
Subject(s) - medicine , intensive care medicine , hemodialysis , population , pediatrics , systematic review , medline , surgery , environmental health , political science , law
Hemodialysis ( HD ) in neonates and infants poses unique challenges due to high risks of mortality attributable to obligatory small blood flow volumes. Although HD is often necessary in neonates, its effectiveness and feasibility are poorly understood. The aim of this review is to describe in detail the few studies reporting on HD in neonates and infants (<12 months old) and then dissertate more broadly on the subject with an emphasis on recent innovations with potential to overcome traditional barriers for effective HD in this population. We detail the clinical characteristics, outcomes, technical considerations, maintenance and complications associated with HD , and provide guidance for addressing challenges associated with HD in this population.