Acute Kidney Injury in Children: Classification, Recognition and Treatment Principles.

Children (Basel)

Department of Nephrology, Division of Pediatrics, University Medical Centre Ljubljana, Bohoričeva 20, 1000 Ljubljana, Slovenia.

Published: October 2024

AI Article Synopsis

  • Acute kidney injury (AKI) in children is a serious condition that involves a rapid decline in kidney function, with a focus on understanding its causes and effects.
  • The article covers key concepts such as urine output changes, drug-induced kidney damage, and vital assessments like electrolyte balance and blood flow to the kidneys.
  • It also addresses the management strategies in the ICU for AKI, the potential need for dialysis, and highlights long-term risks such as chronic kidney disease and hypertension after experiencing AKI.

Article Abstract

Acute kidney injury (AKI) in children is a critical medical condition characterized by a sudden decline in kidney function. This article provides a comprehensive overview of AKI in pediatric populations, exploring its pathophysiology, the role of various drugs and the long-term implications for kidney health. Key topics include oliguria, anuria, urine output, hypervolemia and the interactions among them, as well as role of diuretic nephrotoxicity and the glomerular filtration rate. Concepts of electrolytes, acid-base balance and renal perfusion assessment are presented. Basic principles of intensive care unit (ICU) management, renal replacement therapy and the association with multiorgan failure are described. Additionally, the article discusses the potential long-term outcomes of AKI, including the risk of chronic kidney disease, hypertension and proteinuria.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11593098PMC
http://dx.doi.org/10.3390/children11111308DOI Listing

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