Vascular Access in a Child with Acute Kidney Injury

Deepa Chand, Rupesh Raina

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review


A 7-year-old male was admitted to the pediatric intensive care unit (PICU) after suffering internal injuries after a motor vehicle accident. Specifically, he sustained a liver laceration, from which he hemorrhaged, requiring multiple blood transfusions. His urine output has progressively decreased over the past 4 days, and now, on hospital day 5, his urine output has been less than 5 mL/h. He remains intubated and sedated, requiring ventilator support. You have been involved with his care since hospital day 2, and you have obtained a renal ultrasound which showed normal-sized kidneys with increased echogenicity and poor corticomedullary differentiation, consistent with medical renal disease. His serum creatinine on admission was 0.7 mg/dL and has progressively increased to 4.8 mg/dL at the present time. His serum chemistries at the present time are presented below.

Original languageEnglish
Title of host publicationCritical Care Pediatric Nephrology and Dialysis
Subtitle of host publicationA Practical Handbook
PublisherSpringer Singapore
Number of pages8
ISBN (Electronic)9789811322761
StatePublished - Jan 1 2019


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