Identification and Management of Acute Kidney Injury in Select Pediatric
There is no curative pharmacologic treatment for acute kidney injury (AKI). However, these episodes of AKI can be frequent in critically ill pediatric patients admitted to the intensive care unit. The classification of pediatric AKI is based upon increased serum creatinine levels or decreases in urine output. Pediatric AKI can be classified depending on what criteria and which guideline for treatment is used. Optimization of volume status and blood pressure, avoidance of nephrotoxins, and nutritional support are critical for early stage or patients at high risk for developing AKI to decrease mortality and improve long term outcomes in selected pediatric patient populations such as neonates, young adults, and transplant patients.