Management of renal dysfunction following term perinatal

Acta paediatrica · Mar 2013

Review

Management of renal dysfunction following term perinatal hypoxia-ischaemia.

Acute kidney injury frequently develops following the term perinatal hypoxia-ischaemia. Quantifying the degree of acute kidney injury is difficult, however, as the methods currently in use are suboptimal. Acute kidney injury management is largely supportive with little evidence basis for many interventions. This review discusses management strategies and novel biomarkers that may improve diagnosis and management of renal injury following perinatal hypoxia-ischaemia. ⋯ Following perinatal hypoxia-ischaemia, acute kidney injury is common. Management of neonatal acute kidney injury is largely supportive. Novel acute kidney injury biomarkers may play a role in optimizing new categorical definitions of renal injury. Studies are needed to investigate the impact of neonatal acute kidney injury on long-term outcome.

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- Deirdre U Sweetman, Michael Riordan, and Eleanor J Molloy.
- Neonatology, National Maternity Hospital, Dublin, Ireland. dee.sweetman@gmail.com
- Acta Paediatr. 2013 Mar 1;102(3):233-41.
UnlabelledAcute kidney injury frequently develops following the term perinatal hypoxia-ischaemia. Quantifying the degree of acute kidney injury is difficult, however, as the methods currently in use are suboptimal. Acute kidney injury management is largely supportive with little evidence basis for many interventions. This review discusses management strategies and novel biomarkers that may improve diagnosis and management of renal injury following perinatal hypoxia-ischaemia.ConclusionFollowing perinatal hypoxia-ischaemia, acute kidney injury is common. Management of neonatal acute kidney injury is largely supportive. Novel acute kidney injury biomarkers may play a role in optimizing new categorical definitions of renal injury. Studies are needed to investigate the impact of neonatal acute kidney injury on long-term outcome.©2012 The Author(s)/Acta Paediatrica ©2012 Foundation Acta Paediatrica.

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Management of renal dysfunction following term perinatal hypoxia-ischaemia.

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