Medical management and dialysis therapy for the infant with an inborn error of metabolism.
Optimal care of the neonate with hyperammonemia requires expertise in the evaluation, medical management, and decision to initiate dialytic therapy, and therefore compels expeditious collaboration between neonatal intensive care physicians, medical geneticists, and pediatric nephrologists. Neonatal and dialysis nursing expertise also is paramount for the successful provision of dialysis therapy in this setting. The current article addresses the underlying causes, medical management strategies, and dialytic therapy considerations in caring for the neonate with hyperammonemia.
Picca
Stefano
S
Department of Nephrology and Urology, Dialysis Unit, Bambino Gesù Children's Research Hospital, Rome, Italy. picca@opbg.net
Bartuli
Andrea
A
Dionisi-Vici
Carlo
C
D058186:Acute Kidney Injury / Q000209:etiology / Q000517:prevention & control*; D006801:Humans; D007231:Infant, Newborn; D008661:Metabolism, Inborn Errors / Q000150:complications / Q000628:therapy*; D006435:Renal Dialysis / Q000379:methods*; D016896:Treatment Outcome