Paediatric Nephrology

Best Paediatric Nephrology Hospital in Delhi

The Paediatric Nephrology Team at BLK-Max Super Speciality Hospital provides comprehensive one-stop care to neonates, infants and children up to 16 years of age with both acute and chronic renal diseases and illnesses that are unique to kids and may have a serious impact on a child’s overall well-being. The experienced medical staff strives to provide the highest quality services and the most innovative care in a family-centered environment.

Our team of paediatric nephrologists provides healthcare solutions for various genitourinary conditions in children. We offer to transform medical care for every child tailored to a specific diagnosis, age and individual needs. Our nephrologists follow a multidisciplinary approach by coordinating with experts from other specialities at BLK-Max Hospital, including orthopaedics, endocrinology, psychology, genetics, and paediatric gynaecology, ensuring that care is seamlessly coordinated. 

What Are The Services Provided At The Paediatric Nephrology Unit?

Paediatric Nephrology Services provides an array of non-invasive, minimally invasive, and surgical procedures for treating renal abnormalities in children. Some of the major treatment services available include:

  • Expert evaluation of kidney diseases:
    1. Nephrotic Syndrome
    2. CKD (Chronic Kidney Disease)
    3. Hematuria
    4. UTI (Urinary Tract Infections)
    5. Hypertension
  • Ultrasound Guided Kidney Biopsy - It is a minimally invasive procedure done under sedation without general anaesthesia. Ultrasound is used to generate pictures of the inside of the body using sound waves. It is a painless diagnostic technique that neither hurts the body nor involves the use of radiation. 
  • Haemodialysis - Haemodialysis, like a kidney, is a treatment used to filter the waste and water from a human’s body. It is an artificial way of cleaning the blood by removing the toxins. When a person suffers from chronic or acute chronic renal failure than “Dialysis,” is used to perform the functions of the kidney.
  • Haemodiafiltration - A haemodiafiteration is a form of renal replacement therapy that is used as a blood purification method. It works by utilising a convective-type driving force in combination with diffusional-type, which is used in standard haemodialysis. When compared to standard haemodialysis HDF removes more middle-molecular-weight solutes. HDF tends to provide 
    1.  Improved clinical outcomes
    2. Adequate convection volumes 
    3. Increases the clearance of larger toxins
  • Sustained Low-Efficiency Daily Dialysis (SLEDD) - SLEDD is an increasingly popular renal replacement therapy for the treatment of acute kidney illness. It is primarily used for intensive care unit (ICU) patients. It benefits the patient by providing good solute control and haemodynamic stability.SLEDD has evolved as a conceptual and technical hybrid of Intermittent Haemodialysis (IHD) and Continuous Renal Replacement Therapy (CRRT). It holds a therapeutic aim that combines the desirable properties of each of these component modalities.
  • Continuous Renal Replacement Therapy (CRRT) - CRRT is a slow and continuous extracorporeal blood purification therapy that is commonly used to treat critically ill patients with acute kidney injury. It is a dialysis treatment that provides renal support to patients who are haemodynamically unstable as a continuous 24 hour per day therapy.
  • CRRT helps by mimicking the functions of the kidneys. It purifies the blood by regulating water, electrolytes, and toxic products through the continuous slow removal of solutes and fluid. It is usually indicated to the patients who meet the criteria for haemodialysis therapy but cannot tolerate conventional intermittent haemodialysis (IHD) due to hemodynamic instability. 
  • Plasmapheresis - It is a medical procedure designed to remove some plasma from the blood for a process of plasma exchange (where unhealthy plasma is swapped with healthy plasma). The need for plasmapheresis arises to treat some kidney conditions such as Good pasture syndrome, a disease that causes antibodies to attack the kidneys and lungs.
  • Manual and automated peritoneal dialysis - It is a type of peritoneal dialysis that involves the use of a peritoneal catheter and same peritoneal cavity for cleansing of the blood. Also known as Continuous Cyclic Peritoneal Dialysis (CCPD) the dialysis comes with a machine that is programmed to control the flow of fluid that goes in and out and the frequency of the process, using a series of clamps and pumps.

What Are The Conditions We Treat Under Paediatric Nephrology Unit?

Some of the major nephrological conditions that develop in children are:

  • Antenatal Hydronephrosis And Congenital Renal Anomalies like 
    1. Single kidney 
    2. Multicystic dysplastic kidney 
    3. Duplication of kidney 
    4. Echogenic kidneys 
    5. Ureteroceles 
    6. Posterior urethral valves
  • Nephrotic Syndrome: It is associated with recurrent generalised body swelling and increased risk of infections. The patient may require long term medications to minimise the complications and control the disease.
  • Recurrent Urinary Tract Infections: This can lead to renal damage, thus a patient requires expert evaluation to prevent recurrent infections and treat modifiable risk factors.
  • Acute Kidney Injury: It is commonly seen in critically ill children with body swelling and decreased urine output. The patient often requires haemodialysis, peritoneal dialysis plasmapheresis to treat the condition. These services are available round the clock at our Paediatric Nephrology Unit.
  • Chronic Kidney Disease: It can develop due to a variety of congenital and acquired renal diseases. A patient must undertake long term specialised medical care and renal replacement therapy as treatment.
  • Renal Stones: Also known as Kidney Stones are often associated with inherited and metabolic diseases, especially in younger children. Expert evaluation and treatment are required for identifying the aetiology and preventing recurrence of stones.

Pediatric nephrologist or pediatric nephrology Surgeons are the specialists that treat these pediatric nephrology diseases.

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