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Management of Pediatric Acute Kidney Injury

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Pediatric Kidney Disease

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Abstract

Targeted management and therapy for acute kidney injury (AKI) remains challenging. Much of the care for pediatric AKI to date remains supportive in nature. Earlier detection of AKI may allow intervention with fluid management measures before AKI is fully established, thus allowing the clinician to move beyond supportive care and improve outcomes. Early identification of patients at risk to develop AKI, optimizing fluid and electrolyte status, and avoidance of nephrotoxins are key points in early goal directed management of AKI. Fluid overloaded states may develop in AKI and early renal replacement therapy should be strongly considered to ameliorate and/or allow for correction of volume disturbance and metabolic derangement and permit adequate nutrition to the critically ill pediatric patient.

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Author information

Authors and Affiliations

  1. Department of Pediatrics, University of Iowa Children’s Hospital, Iowa City, IA, USA

    Lyndsay A. Harshman

  2. University of Rochester School of Medicine and Dentistry, Rochester, NY, USA

    Patrick D. Brophy

  3. Department of Pediatrics, University of Washington School of Medicine, Seattle, WA, USA

    Jordan M. Symons

Authors
  1. Lyndsay A. Harshman
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  2. Patrick D. Brophy
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  3. Jordan M. Symons
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Correspondence to Lyndsay A. Harshman .

Editor information

Editors and Affiliations

  1. Division of Pediatric Nephrology, Heidelberg University, Heidelberg, Germany

    Franz Schaefer

  2. Emory School of Medicine, Emory University, Atlanta, GA, USA

    Larry A. Greenbaum

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Harshman, L.A., Brophy, P.D., Symons, J.M. (2023). Management of Pediatric Acute Kidney Injury. In: Schaefer, F., Greenbaum, L.A. (eds) Pediatric Kidney Disease. Springer, Cham. https://doi.org/10.1007/978-3-031-11665-0_52

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