Vascular Access in a Child with Acute Kidney Injury

  • Deepa Chand
  • Rupesh Raina


A 7-year-old male was admitted to the pediatric intensive care unit (PICU) after suffering internal injuries after a motor vehicle accident. Specifically, he sustained a liver laceration, from which he hemorrhaged, requiring multiple blood transfusions. His urine output has progressively decreased over the past 4 days, and now, on hospital day 5, his urine output has been less than 5 mL/h. He remains intubated and sedated, requiring ventilator support. You have been involved with his care since hospital day 2, and you have obtained a renal ultrasound which showed normal-sized kidneys with increased echogenicity and poor corticomedullary differentiation, consistent with medical renal disease. His serum creatinine on admission was 0.7 mg/dL and has progressively increased to 4.8 mg/dL at the present time. His serum chemistries at the present time are presented below.


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Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  • Deepa Chand
    • 1
  • Rupesh Raina
    • 2
  1. 1.University of Illinois College of MedicineNorth ChicagoUSA
  2. 2.Department of NephrologyCleveland Clinic Akron General and Akron Children’s HospitalAkronUSA

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