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Text
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URL Address
<a href="http://doi.org/10.1007/s00467-018-4190-1" target="_blank" rel="noreferrer noopener">http://doi.org/10.1007/s00467-018-4190-1</a>
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Pages
925-941
Issue
5
Volume
34
Dublin Core
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Title
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Pediatric intradialytic hypotension: recommendations from the Pediatric Continuous Renal Replacement Therapy (PCRRT) Workgroup
Publisher
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Pediatric Nephrology (Berlin, Germany)
Date
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2019
2019-05
Subject
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Blood pressure monitoring; Blood volume monitoring; Children; Dialysate cooling; Intradialytic hypotension; Mannitol; Midodrine; Sodium profiling
Creator
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Raina Rupesh; Lam Stephanie; Raheja Hershita; Krishnappa Vinod; Hothi Daljit; Davenport Andrew; Chand Deepa; Kapur Gaurav; Schaefer Franz; Sethi Sidharth Kumar; McCulloch Mignon; Bagga Arvind; Bunchman Timothy; Warady Bradley A
Description
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Intradialytic hypotension (IDH) is a common adverse event resulting in premature interruption of hemodialysis, and consequently, inadequate fluid and solute removal. IDH occurs in response to the reduction in blood volume during ultrafiltration and subsequent poor compensatory mechanisms due to abnormal cardiac function or autonomic or baroreceptor failure. Pediatric patients are inherently at risk for IDH due to the added difficulty of determining and attaining an accurate dry weight. While frequent blood pressure monitoring, dialysate sodium profiling, ultrafiltration-guided blood volume monitoring, dialysate cooling, hemodiafiltration, and intradialytic mannitol and midodrine have been used to prevent IDH, they have not been extensively studied in pediatric population. Lack of large-scale studies on IDH in children makes it difficult to develop evidence-based management guidelines. Here, we aim to review IDH preventative strategies in the pediatric population and outlay recommendations from the Pediatric Continuous Renal Replacement Therapy (PCRRT) Workgroup. Without strong evidence in the literature, our recommendations from the expert panel reflect expert opinion and serve as a valuable guide.
Identifier
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<a href="http://doi.org/10.1007/s00467-018-4190-1" target="_blank" rel="noreferrer noopener">10.1007/s00467-018-4190-1</a>
2019
Bagga Arvind
Blood Pressure Monitoring
Blood volume monitoring
Bunchman Timothy
Chand Deepa
Children
Davenport Andrew
Department of Internal Medicine
Dialysate cooling
Germany)
Hothi Daljit
Intradialytic hypotension
June 2019 Update
Kapur Gaurav
Krishnappa Vinod
Lam Stephanie
Mannitol
McCulloch Mignon
Midodrine
NEOMED College of Graduate Studies Student
NEOMED College of Medicine
Pediatric nephrology (Berlin
Pediatric nephrology (Berlin, Germany)
Raheja Hershita
Raina Rupesh
Schaefer Franz
Sethi Sidharth Kumar
Sodium profiling
Warady Bradley A