Haddad Maha, Butani Lavjay
Division of Pediatric Nephrology, Department of Pediatrics, University of California, Davis, 2516 Stockton Blvd, Sacramento, CA, 95817, USA.
Indian Pediatr. 2025 Apr;62(4):295-299. doi: 10.1007/s13312-025-00026-4.
Continuous renal replacement (CRRT) therapies are a valuable addition to the dialytic armamentarium, and that, through gentler fluid removal and solute clearance, are better tolerated in critically ill children who are in need of dialysis. CRRT is technically demanding and resource intensive, and its use can be associated with many complications. There are many different modalities of CRRT, each of which employ varying combinations of convective and diffuse solute removal and ultrafiltration. CRRT is performed using specialized devices with their own unique dialysis filters and options for different circuit anticoagulation modalities. Because of the complexities inherent in the choice of CRRT and the monitoring involved, CRRT must be performed an intensive care unit setting, using a multidisciplinary team approach.
持续肾脏替代治疗（CRRT）是透析设备中的一项重要补充，通过更温和的液体清除和溶质清除，对于需要透析的危重症儿童耐受性更好。CRRT技术要求高且资源消耗大，其使用可能与许多并发症相关。CRRT有许多不同的模式，每种模式采用对流和扩散溶质清除及超滤的不同组合。CRRT使用具有独特透析滤器和不同回路抗凝模式选项的专用设备进行。由于CRRT选择和监测中固有的复杂性，CRRT必须在重症监护病房环境中，采用多学科团队方法进行。
