Continuous renal replacement therapy (CRRT) program initiation in PICU of a resource limited setting: a retrospective analysis of challenges and outcomes
Initiating a CRRT program in LMICs is feasible despite challenges. Creating a team with members willing to shoulder additional responsibility and training them gave impetus to our program. Tapping governmental and non-governmental support helped us circumvent financial challenges. However, in a resource limited setting, sustainability requires in-house technical and financial support. Survival to discharge was 25%, with hyperlactatemia at CRRT initiation predicting mortality.
Authors
- Jerin C. Sekhar
- Muralidharan Jayashree (ORCID: https://orcid.org/0000-0002-6149-1355)
- Karthi Nallasamy (ORCID: https://orcid.org/0000-0002-6713-9846)
- Manjinder Singh Randhawa (ORCID: https://orcid.org/0000-0001-7998-9170)
- K. C. Sudeep
- Namita Ravikumar (ORCID: https://orcid.org/0000-0003-0077-0112)
- Suresh Kumar Angurana
- Arun Bansal (ORCID: https://orcid.org/0000-0001-6212-6889)
Institutions
- Tribhuvan University Teaching Hospital (NP)
- M.S. Ramaiah Medical College (IN)
- Post Graduate Institute of Medical Education and Research (IN)
Publication Details
- Journal
- BMC Nephrology
- Published
- 2025-07-14
- DOI
- https://doi.org/10.1186/s12882-025-04255-4
- Citations
- 2
- Primary Topic
- Acute Kidney Injury Research
- Type
- article
- Field-Weighted Citation Impact
- 2.86
Funders
- Postgraduate Institute of Medical Education and Research, Chandigarh