Development of a nocturnal home hemodialysis (NHHD) program for children.
Whereas the success of nocturnal home hemodialysis (NHHD) as a treatment modality for adults has been clearly demonstrated, there is very little experience with NHHD in children. There are genuine concerns related to patient safety, as well as a potentially overwhelming burden on the parents of children, while supervising NHHD. Each of these issues has been considered in the development of the NHHD program for children in Toronto. The steps involved in the development of this program are outlined. The experience of Simonsen (4), that NHHD is feasible and provides excellent dialysis for children, is confirmed.
Geary
Denis F
DF
Division of Nephrology, Department of Pediatrics, Hospital for Sick Children, University of Toronto, 555 University Avenue, Toronto, Ontario, Canada M5G 1X8. denis.geary@sickkids.ca
Piva
Elizabeth
E
Gajaria
Mukesh
M
Tyrrel
Jennifer
J
Picone
Gail
G
Harvey
Elizabeth
E
D000293:Adolescent; D002648:Child; D002940:Circadian Rhythm; D005160:Facility Design and Construction; D006437:Hemodialysis, Home / Q000451:nursing*; D006801:Humans; D020380:Needs Assessment; D009864:Ontario; D010348:Patient Care Team; D016730:Program Development