IconHemodialysis in children

Hemodialysis ::

  • Needs center

  • Access for Hemodialysis

  • Heparin is required

  • Need of dialyzer, tubing

  • Not feasible for very young children

    • Dialysis prescription :

  • Daily/ intermittent
  • Duration
  • Dose of Heparin 10-20 units/kg bolus & / hr
  • Blood flow rate 1-4ml/kg
  • Size of dialyzer: < 2/3rd of Surface area
  • Extracorporeal volume should be < 10% of total blood volume

    • Complications

  • Dialysis disequilibrium syndrome
  • Hypotension
  • Electrolyte disturbances
  • Transmission of viruses

    •  

    Vascular access

  • Femoral/ IJV/ Subclavian catheter
  • Arterio venous fistula
  • AV graft

    • Difficulties :

  • Availability of catheter/ Dialyzer
  • Vascular access
  • Blood flow
  • Clotting of circuit
  • Bleeding


    • Clinic : 102, Temple Avenue, 3rd Floor, Deodhar Road, Matunga (CR), Mumbai 400019

    Time: 4 to 6 pm (Mon. To Fri.)

    Tel no: 022 24117711 Mobile: 9821635917

    email: drmehtaks@kidskidneycare.in | drmehtaks@yahoo.co.in

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