Terapia de reemplazo renal continua en niños: de los conceptos a la prescripción
Resumen
La lesión renal aguda es considerada como una disminución abrupta de la función renal que genera acumulación de productos de desecho, pérdida de balance de líquidos y electrolitos, y alteración de la homeostasis ácido-base. Es una entidad con alta incidencia que afecta a pacientes pediátricos en estado crítico. Uno de cada 10 pacientes afectados por esta patología requerirá terapia de reemplazo renal para su manejo. En la actualidad existe un conjunto de modalidades terapéuticas que permiten la circulación continua de sangre a través de circuitos extracorpóreos con el fin de soportar y/o reemplazar la función normal de los riñones en forma continua durante las 24 horas del día. Tales modalidades se agrupan dentro del término: “Terapia de reemplazo renal continua” (TRRC) y tienen varias ventajas sobre los métodos tradicionales; no obstante, existe entre los profesionales de la salud cierto temor a la hora de prescribir estas terapias debido a su complejidad. En esta revisión de la literatura se presentan los conceptos básicos, modalidades e indicaciones de la TRRC en niños de forma práctica para facilitar su prescripción.
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Disciplinas:
Nefrología Pediátrica, Cuidado Intensivo Pediátrico, Pediatría.Referencias bibliográficas
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