Nutritional management in the critically ill child with acute kidney injury: a review.
Acute kidney injury (AKI) in critically ill children is frequently a component of the multiple organ failure syndrome. It occurs within the framework of the severe catabolic phase determined by critical illness and is intensified by metabolic derangements. Nutritional support is a must for these children to improve outcomes. Meeting the special nutritional needs of these children often requires nutritional supplementation by either the enteral or the parenteral route. Since critically ill children with AKI comprise a heterogeneous group of subjects with varying nutrient needs, nutritional requirements should be frequently reassessed, individualized and carefully integrated with renal replacement therapy. This article is a state-of-the-art review of nutrition in critically ill children with AKI.
Kidney and Urology Institute, Medanta, The Medicity Hospital, Gurgaon, Haryana, 122001, India.
Sidharth Kumar
SK
Sethi
Children's Hospital of Richmond, VCU School of Medicine, McGuire Hall Annex, Richmond, VA, 23298, USA.
Norma
N
Maxvold
Children's Hospital of Richmond, VCU School of Medicine, McGuire Hall Annex, Richmond, VA, 23298, USA.
Timothy
T
Bunchman
Kidney and Urology Institute, Medanta, The Medicity Hospital, Gurgaon, Haryana, 122001, India.
Pranaw
P
Jha
Kidney and Urology Institute, Medanta, The Medicity Hospital, Gurgaon, Haryana, 122001, India.
Vijay
V
Kher
Department of Pediatric Nephrology, Akron Children Hospital, Akron, OH, USA. RRaina@chmca.org.
Rupesh
R
Raina
D058186:Acute Kidney Injury / Q000628:therapy*; D002648:Child; D016638:Critical Illness; D002149:Energy Intake; D006801:Humans; D009752:Nutritional Status; D018529:Nutritional Support / Q000379:methods*
Acute kidney injury; Children; Dialysis; Enteral nutrition; Nutrition