Acute Renal Replacement Therapy in Pediatrics

Table 1

Comparison of peritoneal dialysis (PD), intermittent hemodialysis (IHD), and continuous renal replacement therapies (CRRT).

Variable	PD	IHD	CRRT
Continuous therapy	Yes	No	Yes
Hemodynamic stability	Yes	No	Yes
Fluid balance achieved	Yes/No, Cycle dependent	Yes/No, Intermittent	Yes, pump controlled
Ease of use	Yes	No	No
Adequate nutrition delivery	variable	variable	Yes
Solute control	Yes	Yes	Yes
Ultrafiltration control	Variable	Yes	Yes
Anticoagulation	No	Yes	Yes
Acute ingestion removal	No	Yes	Variable
Continuous toxin removal	Variable	No	Yes
ICU nursing needs	Low	High	High
Patient mobility	No	Yes	No
Cost	Low	High	High
Vascular access need	No	Yes	Yes
Infection potential	Yes	Yes	Yes
Use in inborn-errors of metabolism	No	Yes	Yes

Adapted with permission from Walters et al. [8].