Abstract
Normal renal physiology in term neonates provides them with adequate function to maintain proper homeostasis. Premature infants are born with less glomeruli, and the extra-uterine environment is not optimal for renal development, especially in context of acute kidney injury. Premature infants are born with poor ability to clear waste products, and maintain electrolyte/fluid balance, thereby relying on the clinician to provide adequate fluid/electrolyte and nutrition provision to assure homeostasis. Neonatal acute kidney injury is common in premature infants, infants with perinatal depression, neonates who receive cardiopulmonary bypass surgery or require extra-corporeal membrane oxygenation. They are very commonly exposed to nephrotoxic medications. Despite this, neonates represent one of the least studied critically ill population. Recent studies using contemporary AKI definitions elucidate that AKI is very common in the neonatal intensive care unit. Renal replacement therapy can be provided to neonates using peritoneal dialysis, intermittent hemodialysis, and continuous renal replacement therapy. New machines and filters have been developed which promise to decrease the complexity and risks of these therapies.
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Askenazi, D., Picca, S., Guzzo, I. (2016). Neonatal Kidney Dysfunction. In: Geary, D., Schaefer, F. (eds) Pediatric Kidney Disease. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-52972-0_48
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