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Chapter-56 Renal Problems in the Pediatric Intensive Care Unit (PICU)

BOOK TITLE: Principles and Practice of Pediatric Nephrology

Author
1. Kasaragode Aravind
ISBN
9788180613043
DOI
10.5005/jp/books/11074_56
Edition
1/e
Publishing Year
2004
Pages
8
Author Affiliations
1. Avera Mckennan Hospital and University Health Centre, Sioure Falls, South Da Kota, USAAvera Mckennan Hospital and University Health Centre, Sioure Falls, South Da Kota, USA
Chapter keywords

Abstract

Two groups of patients are admitted in the pediatric ICU with renal problems. The first and more common is the one, who develops renal failure secondary to multiorgan disease. The second group is the one, who is admitted to PICU for primary renal disease, acute or chronic. In both situations, the patients develop fluid and electrolyte imbalance. As a result, the patients can potentially develop life-threatening complications that need to be taken care of in the pediatric intensive care unit. The incidence of acute renal failure (ARF) in the PICU is extremely variable. The occurrence of ARF in any single PICU depends on the type of patients being taken care of in that particular unit. The incidence will be higher in any unit taking care of children following cardiac surgery, since the incidence of ARF in that patient group can be as high as 8%.

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