Pathophysiology of Progressive Renal Disease

Eddy, A. A.

doi:10.1007/978-3-540-76341-3_67

Cited by 4 publications

(3 citation statements)

References 173 publications

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“…The rate of CKD stage 5 patients among the pediatric population has remained fairly constant, being approximately 14/million population below 19 years of age/year. 12 Considering that the pediatric population corresponds to 40% of the 4 million people inhabiting the Belo Horizonte metropolitan area, 224 people under the age of 19 years should be expected to reach CKD stage 5 each year. Yet, this has not been observed, even considering that many AVF: Arteriovenous fistula children start dialysis through the peritoneal route.…”

Section: Discussionmentioning

confidence: 99%

“…Pediatricians and pediatric nephrologists should therefore liaise with one another, aiming the early diagnosis, prevention and optimal management of CKD starting during childhood. 12,13 According to the North American Pediatric Renal Transplantation Cooperative Study (NAPRTCS), 6 77.7% of the children in the USA start HD with a CVC, against 12.3% with an AVF and 7.3% with a prosthesis. In our study, 31 patients (51%) started HD with a CVC (Table 1).…”

Section: Discussionmentioning

confidence: 99%

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Avaliação do acesso vascular para hemodiálise em crianças e adolescentes: um estudo de coorte retrospectivo de 10 anos

Souza¹,

Oliveira²,

Silva³

et al. 2011

J. Bras. Nefrol.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Avaliação do acesso vascular para hemodiálise em crianças e adolescentes: um estudo de coorte retrospectivo de 10 anos

Souza¹,

Oliveira²,

Silva³

et al. 2011

J. Bras. Nefrol.

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“…Yet, if ESRD is diagnosed and a kidney transplantation is not immediately feasible, peritoneal dialysis or hemodialysis is performed. Hemodialysis is commonly utilized in children with ESRD . It is imperative that the vascular access site is secured properly to ensure that hemodialysis treatments may be performed over the long term.…”

Section: Introductionmentioning

confidence: 99%

A minimally painful, comfortable, and safe technique for hemodialysis catheter placement in children: Superficial cervical plexus block

Çiftçi

Daşkaya

Yıldırım

et al. 2014

Hemodialysis International

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The superficial cervical plexus block (SCPB) is utilized in pediatric patients to perform certain surgical procedures, but there is no evidence supporting its use in hemodialysis catheter placement. We evaluated the analgesic effectiveness, intraoperative complications, and patient satisfaction associated with SCPB for pediatric patients in renal failure undergoing emergent dialysis catheterization. A total of 52 patients ranging from 1 to 17 years old that required emergent dialysis catheter placement and received SCPB were included in this study. During the catheterization, intraoperative pain scores, requirement for additional analgesia, catheterization access site, and intraoperative complications were recorded. The Children's Hospital of Eastern Ontario Pain Scale (mCHEOPS) was used to determine pain ratings during skin puncture with the needle, skin dilatation, and securing the catheter with stitches. The patients had an average age of 8.46 ± 5.3 years. The preferred catheterization entry site was through right internal jugular vein, which was achieved in 80.7% of patients. However, 19.3% of patients required access through the right subclavian vein. The average mCHEOPS score during skin puncture was 1.4 ± 0.5, and the mean mCHEOPS score was 2.3 ± 0.6 for skin dilatation. Finally, the average mCHEOPS score while securing the catheter with stitches was 1.3 ± 0.4. No patient required fentanyl for additional analgesia. No intraoperative complications occurred. The benefits gained from using SCPB performed by an experienced anesthesiologist for hemodialysis catheter placement include providing sufficient analgesia and optimal surgical conditions while avoiding the complications associated with general anesthesia for pediatric patients with renal failure.

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Prevalence of Oral Candidiasis in Chronic Renal Failure and Renal Transplant Pediatric Patients

Olivas-Escárcega

Ruiz-Rodríguez

Fonseca-Leal

et al. 2008

Journal of Clinical Pediatric Dentistry

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The objective of this study was to evaluate the prevalence and risk factors associated with candidiasis in chronic renal failure (CRF) and renal transplant (RT) patients. A cross-sectional study was made of 66 patients who were divided into 2 groups: group A (33 patients), RT patients, and group B (33 patients), who had been diagnosed with CRF. Data with respect to demographics, treatment type and duration, clinical laboratory results for blood leucocytes, oral hygiene, and diagnosis of oral candidiasis were collected. Risk factors associated with candidiasis were evaluated. Among the 66 patients, 21 showed microbiologic evidence of oral candidiasis; 12 of these were from the RT group and 9 were from the CRF patients. Children who were renally compromised (RT and CRF) presented a frequency of oral candidiasis of 31.82%, with no difference between study groups. C. albicans was the most frequently isolated species from RT and CRF patients. Duration of therapy and oral hygiene were the variables associated with the presence of oral candidiasis.

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Pathophysiology of Progressive Renal Disease

Cited by 4 publications

References 173 publications

Avaliação do acesso vascular para hemodiálise em crianças e adolescentes: um estudo de coorte retrospectivo de 10 anos

Avaliação do acesso vascular para hemodiálise em crianças e adolescentes: um estudo de coorte retrospectivo de 10 anos

A minimally painful, comfortable, and safe technique for hemodialysis catheter placement in children: Superficial cervical plexus block

Prevalence of Oral Candidiasis in Chronic Renal Failure and Renal Transplant Pediatric Patients

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