Pediatric Nephrology

, Volume 32, Issue 4, pp 589–601 | Cite as

Nutritional management in the critically ill child with acute kidney injury: a review

  • Sidharth Kumar Sethi
  • Norma Maxvold
  • Timothy Bunchman
  • Pranaw Jha
  • Vijay Kher
  • Rupesh RainaEmail author


Acute kidney injury (AKI) in critically ill children is frequently a component of the multiple organ failure syndrome. It occurs within the framework of the severe catabolic phase determined by critical illness and is intensified by metabolic derangements. Nutritional support is a must for these children to improve outcomes. Meeting the special nutritional needs of these children often requires nutritional supplementation by either the enteral or the parenteral route. Since critically ill children with AKI comprise a heterogeneous group of subjects with varying nutrient needs, nutritional requirements should be frequently reassessed, individualized and carefully integrated with renal replacement therapy. This article is a state-of-the-art review of nutrition in critically ill children with AKI.


Acute kidney injury Nutrition Enteral nutrition Dialysis Children 



We acknowledge the help provided by Dr. Reema Gulati (MD, Division-Director, Pediatric Gastroenterology, Metrohealth Drive, Cleveland, USA) and Victoria Vitale (MS, RD, LD., Pediatric Clinical Dietitian, Akron Children’s Hospital, Cleveland, USA) for reviewing this manuscript.

Compliance with ethical standards

Conflict of interest



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Copyright information

© IPNA 2016

Authors and Affiliations

  • Sidharth Kumar Sethi
    • 1
  • Norma Maxvold
    • 2
  • Timothy Bunchman
    • 2
  • Pranaw Jha
    • 1
  • Vijay Kher
    • 1
  • Rupesh Raina
    • 3
    Email author
  1. 1.Kidney and Urology Institute, MedantaThe Medicity HospitalGurgaonIndia
  2. 2.Children’s Hospital of RichmondVCU School of MedicineRichmondUSA
  3. 3.Department of Pediatric NephrologyAkron Children HospitalAkronUSA

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