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Disparities in dialysis in children | Dr. Sidharth Kumar Sethi

Disparities In Dialysis In Children HYPOTHESIS:  Acute kidney injury (AKI) is a common cause of morbidity and mortality worldwide, with a pediatric incidence ranging from 19.3% to 24.1%.  Treatment of pediatric AKI  is a source of debate in varying geographical regions. Currently CRRT is the treatment for pediatric AKI, but limitations due to cost and accessibility force use of adult equipment and other therapeutic options such as peritoneal dialysis (PD) and hemodialysis (HD). It was hypothesized that more cost-effective measures would likely be used in developing countries due to lesser resource availability. METHODS:  A 26-question internet-based survey was distributed to 650 pediatric Nephrologists. There was a response rate of 34.3% (223 responses). The survey was distributed via pedneph and pcrrt email servers, inquiring about demographics, technology, resources, pediatric-specific supplies, and preference in renal replacement therapy (RRT) in pediatric AKI. The main method of an
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What Is Nephrotic Syndrome And What Causes It?

What Is Nephrotic Syndrome And What Causes It? Nephrotic syndrome  is disease of the kidneys where the filtering system made of functional units called the nephrons, gets damaged. This is the name given to the collection of findings which develop as a result of such a damage. When the filtering system gets damaged, the kidney tends to filter substances which it usually doesn’t, and filter less of substances which it usually does. All of these issues give rise to some characteristic findings, which include: Large amounts of protein present in the urine which results from leakage of protein through the damaged nephrons which usually prevent protein leak. This is known as proteinuria in medical terms and is calculated according to your child’s age and body weight. Low levels of protein in the blood, which results from the protein leaking out into the urine, and is called Hypoalbuminemia. Edema or tissue swelling in all areas of the body, which is the result of reduced levels of protein in
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Kidney Replacement Therapy In COVID-19 Induced Kidney Failure And Septic Shock | Dr. Sidharth Kumar Sethi

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The recent worldwide pandemic of COVID-19 has had a detrimental worldwide impact on people of all ages. Although data from China and the United States indicate that pediatric cases often have a mild course and are less severe in comparison to adults, there have been several cases of kidney failure and multisystem inflammatory syndrome reported. As such, we believe that the world should be prepared if the severity of cases begins to further increase within the pediatric population. Therefore, we provide here a position paper centered on emergency preparation with resource allocation for critical COVID-19 cases within the pediatric population, specifically where renal conditions worsen due to the onset of AKI. About Dr. Dr. Sidharth Kumar Sethi Kidney & Urology Institute He was trained as a Fellow (International Pediatric Nephrology Association Fellowship) and Senior Resident in Pediatric Nephrology at All India Institute of Medical Sciences and Division of Pediatric Nephrology and T
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Testing For And Diagnosing Nephrotic Syndrome In Children, Nephrotic syndrome Specialist in Delhi - Dr. Sidharth Sethi

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  Testing For And Diagnosing Nephrotic Syndrome In Children Nephrotic syndrome explained: Nephrotic syndrome is a condition which affects the kidneys and the miniscule filtering system within it, called the nephrons. There is damage to these structures as a result of various reasons, and mostly in children the cause remains unknown, also known as idiopathic  nephrotic syndrome . As a result of this damage, the kidney starts to filter less of the substances that it usually helps our body get rid of, and it also starts to filter in excess certain substances which are useful to the body. Therefore an affected child usually presents with certain characteristic symptoms, including, swelling of the tissues, especially in the face and abdomen. Diagnosing the condition: It is when a child presents with this characteristic symptom of swelling in most areas of the body, that your doctor/pediatrician will suspect  nephrotic syndrome . It is very important that the diagnosis is made correctly, bec
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Cerebral venous sinus thrombosis in pediatric nephrotic syndrome | Dr. Sidharth Kumar Sethi

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  Cerebral Venous Sinus Thrombosis In Pediatric Nephrotic Syndrome A 2-year-old girl presented to the emergency room with recurrent seizures. The child had been diagnosed with nephrotic syndrome in the previous 2 weeks (serum albumin, 1.5 g/dl; serum creatinine, 0.4 mg/dl) and had been convulsing on and off since the week before presentation. Oral prednisolone (2 mg/kg per day) had been started for 2 weeks with no response. There was no metabolic cause of seizures with normal serum ammonia, blood gas, and serum electrolyte levels. About Dr. Dr. Sidharth Kumar Sethi Kidney & Urology Institute He was trained as a Fellow (International Pediatric Nephrology Association Fellowship) and Senior Resident in Pediatric Nephrology at All India Institute of Medical Sciences and Division of Pediatric Nephrology and Transplant Immunology, Cedars Sinai Medical Centre, Los Angeles, California. He has been actively involved in the care of children with all kinds of complex renal disorders, includin
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Our team published a very important review on Multisystem Inflammatory Syndrome in Children | Dr. Sidharth Kumar Sethi

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Our Team Published A Very Important Review On ‘Multisystem Inflammatory Syndrome In Children Our team published a very important review on ‘Multisystem Inflammatory Syndrome in Children with COVID- A Pediatric Nephrologist’s Perspective’ in journal ‘Clinical Kidney Journal’. This review is very important for all physicians, Pediatricians and Nephrologists taking care of children with COVID and AKI. About Dr. Dr. Sidharth Kumar Sethi Kidney & Urology Institute He was trained as a Fellow (International Pediatric Nephrology Association Fellowship) and Senior Resident in Pediatric Nephrology at All India Institute of Medical Sciences and Division of Pediatric Nephrology and Transplant Immunology, Cedars Sinai Medical Centre, Los Angeles, California. He has been actively involved in the care of children with all kinds of complex renal disorders, including nephrotic syndrome, tubular disorders, urinary tract infections, hypertension, chronic kidney disease, and renal transplantation. He
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PCRRT Groups guidelines on AKI in Pediatric Hematopoietic Cell Transplantation now published in Journal of Pediatric Nephrology | Dr. Sidharth Kumar Sethi

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  PCRRT Groups Guidelines On AKI In Pediatric Hematopoietic Cell Transplantation Now Published In Journal Of Pediatric Nephrology Hematopoietic cell transplantation is a therapy to treat neoplastic & metabolic disorders, hematological diseases, & fatal immunological deficiencies, but a common complication is AKI. Read this evidence-based Guideline compiled by the PCRRT working group. About Dr.  Dr. Sidharth Kumar Sethi Kidney & Urology Institute He was trained as a Fellow (International Pediatric Nephrology Association Fellowship) and Senior Resident in Pediatric Nephrology at All India Institute of Medical Sciences and Division of Pediatric Nephrology and Transplant Immunology, Cedars Sinai Medical Centre, Los Angeles, California. He has been actively involved in the care of children with all kinds of complex renal disorders, including nephrotic syndrome, tubular disorders, urinary tract infections, hypertension, chronic kidney disease, and renal transplantation. He has be
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