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Continuous renal replacement therapy, or CRRT, is a non-stop, 24-hour dialysis therapy. It is used to help patients with acute kidney injury (AKI) and fluid overload. Your child may need CRRT if they look swollen or puffy or if their blood test shows they have high levels of waste products.
CRRT does some of the work normally done by healthy kidneys. It gently filters and cleans your child’s blood by removing waste products and extra fluid. This keeps chemicals and electrolytes, like potassium and phosphorus, in your child’s blood balanced. CRRT does not actually improve your child’s kidney function, but instead it keeps everything in line in your child’s body until the kidneys recover function.
Placement of the dialysis catheter (CVC) is a sterile procedure. It is done by an intensive care unit (ICU) doctor or a radiology doctor skilled in catheter placement. The doctor placing the catheter will decide if the parents may stay during the procedure.
Your child will be connected to the CRRT machine the whole time. The machine is run by specially trained nurses in the ICU.
As your child gets better, the team may try some time off of CRRT. This is to see how well your child’s kidneys work. If kidney support is still needed, CRRT may need to be restarted, or they may be changed to a less frequent type of dialysis called hemodialysis. This is done for shorter periods of time (3 to 5 days per week).
If you have questions about your child’s kidney function or the CRRT treatment, please talk to your child’s kidney doctor (nephrologist).
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