Posts

Showing posts with the label Dr. Sidharth Kumar Sethi

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. Th...

Kidney Replacement Therapy In COVID-19 Induced Kidney Failure And Septic Shock | Dr. Sidharth Kumar Sethi

Image
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...

Testing For And Diagnosing Nephrotic Syndrome In Children, Nephrotic syndrome Specialist in Delhi - Dr. Sidharth Sethi

Image
  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 ...

Cerebral venous sinus thrombosis in pediatric nephrotic syndrome | Dr. Sidharth Kumar Sethi

Image
  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, incl...

Our team published a very important review on Multisystem Inflammatory Syndrome in Children | Dr. Sidharth Kumar Sethi

Image
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 ...

PCRRT Groups guidelines on AKI in Pediatric Hematopoietic Cell Transplantation now published in Journal of Pediatric Nephrology | Dr. Sidharth Kumar Sethi

Image
  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. ...

We are humbled to share that Medanta has been ranked as the Best Private Hospital in India, Child Kidney Specialist in India | Dr. Sidharth Kumar Sethi

Image
  We Are Humbled To Share That Medanta Has Been Ranked As The Best Private Hospital In India We are humbled to share that Medanta has been ranked as the  Best Private Hospital in India  by Newsweek in the World’s Best Hospitals survey for the third time in a row. Medanta is the only Indian private hospital to be listed in the Top 150 hospitals in the world. This is a testimony to the standards of clinical care Medanta delivers as a team, world-class medical infrastructure and advanced treatment technology that we offer to our patients. 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,...

Point Of Care Ultrasound For Assessment Of A Critical Child With Acute Kidney Injury - Dr. Sidharth Kumar Sethi

Image
  Point Of Care Ultrasound For Assessment Of A Critical Child With Acute Kidney Injury In an effort to incorporate ‘Point of Care Ultrasound for assessment of a critical child with  acute kidney injury ’ in teaching core curriculum for Residents & Young Faculty, we have planned an ‘Online Course on Point of Care Ultrasound in  Pediatric Nephrology ’ with assessment based on OSCE after the course on 4-5 June. The planned modules for the course are listed in attached Brochure. Early bird registrations shall finish soon. Meeting Website   https://picunephrologycourses.com/ Link for registrations   https://in.eregnow.com/ticketing/register/POCUSpAKI Regards Dr Sidharth Sethi, India Dr Rupesh Raina, USA IPNA Foundation:  Great Care for Little Kidneys Everywhere IPNA Asian Pediatric Nephrology Association Tag =  Child Kidney Specialist in Delhi ,  Pediatric Dialysis Specialist in India For more information =  pediatricnephrologyindia.com

Perioperative Albuminuria And Clinical Model To Predict Acute Kidney Injury In Paediatric Cardiac Surgery at pediatricnephrologyindia

Image
  Perioperative Albuminuria And Clinical Model To Predict Acute Kidney Injury In Paediatric Cardiac Surgery Happy & Proud to share with you that our DNB Nephrology Postgraduate Dr Arushi Nautiyal who did thesis with Dr Shyam Bansal and Dr Rajesh Sharma and me, got published in ‘ Pediatric Nephrology ’ journal today! It’s a landmark paper on AKI Risk Prediction for children undergoing a cardiac surgery. It emphasises the need to assess peri-operative proteinuria and a clinical model for risk prediction. Congrats Dr Arushi and team ! Tag =  Child Kidney Specialist in India ,  Best Pediatric Nephrologist in Delhi ,  Pediatric Kidney Transplant Specialist in Delhi For more information =  http://www.pediatricnephrologyindia.com/

Neonatal AKI is Common in Neonatal Intensive Care Units & Leads to Worse Outcomes, Treatment by Dr. Sidharth Kumar Sethi

Image
  Background Neonatal acute kidney injury (AKI) is common in neonatal intensive care units (NICU) and leads to worse outcomes. Stratifying neonates into an “at risk” category allows health care providers to objectively recognize opportunities for improvements in quality of care. Methods The “Neonatal AKI Risk Prediction Scoring” was devised as the “STARZ [Sethi, Tibrewal, Agrawal, Raina, waZir]” Score. The STARZ score was derived from our prior multicentre study analysing risk factors for AKI in neonates admitted to the NICU. This tool includes 10 variables with a total score ranging from 0 to 100 and a cut-off score of 31.5. In the present study, the scoring model has been validated in our multicentre cohort of 744 neonates. Results In the validation cohort, this scoring model had sensitivity of 82.1%, specificity 91.7%, positive predictive value 81.2%, negative predictive value 92.2% and accuracy 88.8%. Based on the STARZ cut-off score of ≥ 31.5, an area under the receiver o...

Critical Care Pediatric Nephrology & Pediatric Dialysis: A Practical Handbooks by Dr. Sidharth Kumar Sethi

Image
  Critical Care Pediatric Nephrology & Pediatric Dialysis: A Practical Handbooks Happy to see the success of our ‘Handbook of Protocols of Critical Care Pediatric Nephrology & Pediatric Dialysis’ with Springers Publishers! It’s been two years and we get positive reviews each day! Thanks to the patients who are also teachers… ABOUT Dr.  Dr. Sidharth Kumar Sethi  is a Senior Consultant in Pediatric Nephrology and Pediatric Renal Transplant Medicine at the Kidney and Urology Institute, Medanta, India. He completed his fellowship (International Pediatric Nephrology Association Fellowship) and senior residency in Pediatric Nephrology at the All India Institute of Medical Sciences, New Delhi and the Division of Pediatric Nephrology and Transplant Immunology at Cedars Sinai Medical Centre, Los Angeles, California. He has been involved in numerous national and international meetings on pediatric acute kidney injury and pediatric dialysis. His chief interests include acute...

ABO Incompatible Kidney Transplant In Children Treatment By - Dr. Sidharth Kumar Sethi

 Transplant In Children Treatment by   -  Dr. Sidharth Kumar Sethi Recent literature has endorsed favorable outcomes following ABOi  kidney transplantation in pediatric  population. Nevertheless, reluctance to pursue an ABOi still remains pervasive. This could be ascribed to various legitimate reasons, namely less extensive pediatric ABOi data, technical difficulties encountered during PP, cost restraints, and concerns regarding higher rates of antibody-mediated rejection, infectious complications, and post-transplant lymphoproliferative disorder as compared to adults. However, given the similar excellent outcomes of both ABOi and ABOc  kidney transplantation , clinicians should consider this option sooner if a compatible donor or swap is not available. Here, we describe the outcomes of three pediatric ABOi performed at our institute in India (from 2014 till now), wherein distinct apheresis modalities had been employed in each desensitization protocol,...

Understanding Urinary Tract Infections From Dr. Sidharth Kumar Sethi - Child Kidney Specialist in Gurgaon

  Understanding Urinary Tract Infections This topic is intended to give the parents and caregivers a comprehensive overview of urinary tract infections (UTIs)-causes, signs and symptoms, diagnosis, treatment and potential future complications, so that they can lend a helping hand in building a better kidney health for their children. What does the urinary tract consist of? KIDNEYS  -These are two bean shaped organs situated on either side of our back. They filter the blood off the wastes and produce urine. URETERS  -These are two tubes through which urine from the kidney travels down. URINARY BLADDER  –It is a bag which stores urine coming in from the ureters. URETHRA  –It is a thin tube from which urine comes out of the body whenever we urinate. What’s a uti? A UTI occurs when bacteria (germs) invade the urinary tract through infected urine. Overall, UTI is commoner in girls than boys, except in first year of life as structural problems of urinary tract at birt...

Nephrotic syndrome Specialist Delhi, India - Dr. Sidharth Kumar Sethi | pediatricnephrologyindia |

  Nephrotic Syndrome Most people have two kidneys, one on either side of the body just beneath the ribcage. Healthy kidneys filter the blood and allow small particles of waste products and water to be excreted as urine. Kidneys also play important role in the control of blood pressure, maintenance of bone health and formation of red blood cells. What is nephrotic syndrome? Nephrotic syndrome  occurs when the kidneys leak large amounts of protein (especially albumin) into the urine. It is these proteins which is mainly responsible for holding water in the blood vessels, and when they are lost in urine, their level decreases in the blood which causes the water to come out of the blood vessels and cause swelling (edema). What causes Nephrotic Syndrome? In most cases, the exact cause of  nephrotic syndrome  is not known. There is no relationship with diet or socioeconomic status of the family. It is non-infectious and does not transfer to other family members . What are ...

Expertise - Pediatric Nephrotic syndrome, Chronic Kidney disease, Pediatric Dialysis, Renal Transplantation | pediatricnephrologyindia |

Image
Dr. Sidharth Sethi at Medanta, The Medicity is the leading Pediatric Nephrologist providing diagnostic and treatment services for children with conditions of the kidney especially  Nephrotic syndrome , Glomerular disorders, rare tubular disorders and Chronic Kidney disease. Our team is the leading dialysis and renal transplant service centre for children. Dr. Sethi & team believes in personalized care that focuses on individual patient and family needs. Our team understands the challenges many of our families face when trying to access the care they need. Our caring goes beyond diagnostics and treatment. Our team is nationally recognized for their innovation, experience, dedication and expertise. We have the newest dialysis technology inpatient and outpatient, and provides  comprehensive kidney transplant care to children  of all ages. Dr. Sethi leads in care of children with the following disorders: Pediatric Nephrotic syndrome Complex recurrent urinary tract disorde...

Best Pediatric Nephrologist in India, Child Kidney Specialist in Delhi, Child Kidney Doctor in Delhi, Gurgaon - Dr. Sidharth Kumar Sethi

Image
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 been a part of 8-member writing committee for the guidelines of Steroid Sensitive Nephrotic Syndrome and Expert committee involved in the formulation of guidelines of Pediatric Renal Disorders including Steroid Resistant Nephrotic Syndrome and urinary tract infections. He has more than 30 indexed publications in Pediatric Nephrology and chapters in reputed textbooks including Essential Pediatrics (Editors...