Abstract
Performing hemodialysis in children requires integration of age-dependent factors into a prescription that acknowledges size, growth, and disease-specific aspects regarding the choice of equipment, settings, anticoagulation regimen, as well as dialysis dose and volume control. In particular, low extracorporeal blood volumes (and flow rates) in combination with growth-guided dietary needs represent specific challenges in the pediatric population that become particularly evident in multi-morbid patients with restricted dialysis settings. In this chapter, hemodialysis prescription is presented for two scenarios. In the first case, the rationale for clinical decision-making in a standard pediatric hemodialysis situation is discussed; in the second case, an uncooperative patient with severe mental retardation is presented to discuss the difficulties in providing acceptable hemodialysis with apparently inacceptable trade-offs in special situations.
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Arbeiter, K., Csaicsich, D., Sacherer-Mueller, T., Aufricht, C. (2017). Hemodialysis Prescription. In: Warady, B., Schaefer, F., Alexander, S. (eds) Pediatric Dialysis Case Studies. Springer, Cham. https://doi.org/10.1007/978-3-319-55147-0_14
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DOI: https://doi.org/10.1007/978-3-319-55147-0_14
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