CURRENT STATUS OF ALTERNATIVE HEMODIALYSIS REGIMENS
Intensified Daily Dialysis: The Best Chronic Dialysis Option for Children?
Article first published online: 18 NOV 2011
© 2011 Wiley Periodicals, Inc.
Seminars in Dialysis
Volume 24, Issue 6, pages 640–644, November/December 2011
How to Cite
Fischbach, M., Fothergill, H., Zaloszyc, A., Menouer, S. and Terzic, J. (2011), Intensified Daily Dialysis: The Best Chronic Dialysis Option for Children?. Seminars in Dialysis, 24: 640–644. doi: 10.1111/j.1525-139X.2011.01020.x
- Issue published online: 8 DEC 2011
- Article first published online: 18 NOV 2011
Children receiving chronic hemodialysis (HD) three times a week have many obstacles to overcome. Not only do they have to endure dietary restrictions, but they also need to take various medications on a daily basis, which contribute to anorexia. Children on such conventional dialysis programs often have poorly controlled blood pressure (which can lead to left ventricular hypertrophy and/or left ventricular dysfunction) and impaired statural growth. Therefore, the need for more frequent and/or intensive dialysis is recognized. Nevertheless despite limited center experience, daily dialysis is currently most often limited as a rescue treatment. When performed, daily intensified HD provides a modality for preserving cardiovascular health and promoting normal growth in children. Therefore, the time spent on chronic dialysis preserves their chances of the best possible outcome.