Paediatric Nephrology Unit

The Paediatric Nephrology Team at Yashoda Hospital provides comprehensive one-stop care to neonates, infants and children up to 16 years of age with both acute and chronic renal diseases. The experienced medical staff strives to provide the highest quality services and the most innovative care in a family-centred environment.

Our team of paediatric nephrologists provides diagnostic evaluations, medical treatments, and follow-up monitoring for children for various genitourinary conditions. We offer to transform medical care for every child who suffers from the entire spectrum of kidney and urinary diseases. We offer integrative care, and our specialists collaborate with physicians from various other departments to personalize every patient treatment program. Our team consists of highly qualified pediatric nephrologists, dialysis technicians, nurses, and a dietitian – all professionally trained to treat children.

Our nephrologists follow a multidisciplinary approach by coordinating with experts from other specialities at Yashoda Hospital, including orthopaedics, endocrinology, psychology, genetics, and paediatric gynaecology, ensuring that care is seamlessly coordinated.

What Are The Services We Provide At The Paediatric Nephrology Unit?

To treat renal abnormalities in children, our paediatric nephrology services provide an array of non-invasive, minimally invasive, and surgical procedures.

Some of the significant treatment services available include:

• Expert evaluation of kidney diseases:
• • Nephrotic Syndrome
  • CKD (Chronic Kidney Disease)
  • Hematuria
  • UTI (Urinary Tract Infections)
  • Hypertension
• Ultrasound-Guided Kidney Biopsy

This is a painless diagnostic procedure that is conducted under sedation without general anaesthesia. This minimally invasive procedure uses ultrasound to generate pictures of the inside of the body using sound waves.

• Haemodialysis

If your child suffers from chronic or acute chronic renal failure, then Dialysis is performed to take the place of the functions of the kidney to filter the waste and water from a human’s body. Haemodialysis cleans the body by removing the toxins.

• Haemodiafiltration

Haemodiafiltration act as a form of renal replacement therapy that is used as a blood purification method. HDF removes more middle-molecular-weight solutes than standard haemodialysis and provides better clinical outcomes and removal of larger toxins.

• Sustained low-efficiency Daily Dialysis (SLEDD)

SLEDD has emerged as an increasingly popular renal replacement therapy because it contains the properties of both Intermittent Haemodialysis (IHD) and Continuous Renal Replacement Therapy (CRRT). If your child has acute kidney illness, then SLEDD is primarily used because it benefits the patient by providing good solute control and haemodynamic stability.

• Continuous Renal Replacement Therapy (CRRT)

We provide CRRT to patients who are haemodynamically unstable and require a continuous 24 hour per day therapy. CRRT is commonly used to treat critically ill patients with acute kidney injury and is a slow and continuous extracorporeal blood purification therapy.

CRRT imitates the functioning of the kidney and continuously purifies the blood by regulating water, electrolytes, and toxic products through the constant slow removal of solutes and fluid. It is generally provided to the patients who meet standards for haemodialysis therapy but cannot receive conventional intermittent haemodialysis (IHD) due to hemodynamic instability.

• Plasmapheresis

In this procedure, plasma exchange occurs where some plasma is removed from the blood and replaced with healthy plasma. Some kidney diseases such as Good pasture syndrome, a condition that causes antibodies to attack the kidneys and lungs require plasmapheresis for treatment.

• Manual and automated peritoneal Dialysis

In this procedure, the peritoneal catheter and same peritoneal cavity is used for cleansing of the blood. Peritoneal Dialysis, also known as Continuous Cyclic Peritoneal Dialysis is monitored by machine programme that controls the flow of fluid that goes in and out and the frequency of the process by using series of clamps and pumps.

What Are The Medical Conditions We Treat Under Paediatric Nephrology Unit?

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

• Antenatal Hydronephrosis And Congenital Renal Anomalies such as
• • Single kidney
  • Multicystic dysplastic kidney
  • Duplication of kidney
  • Echogenic kidneys
  • Ureteroceles
  • Posterior urethral valves
• Nephrotic Syndrome: In this condition, the patient may observe some body swelling and increased risk of infections and thus, they may require long term medications to minimise the complications and control the disease.
• Recurrent Urinary Tract Infections: Your child may have to undergo an expert evaluation to prevent recurrent infections and renal damage.
• Acute Kidney Injury: Our Paediatric Nephrology Unit provides haemodialysis, peritoneal dialysis plasmapheresis to treat critically ill children with body swelling and decreased urine output.
• Chronic Kidney Disease: We provide expert medical care and renal replacement therapy to treat a wide variety of congenital and acquired renal diseases.
• Renal Stones: Due to inherited and metabolic diseases, especially in younger children, kidney stones begin to form in children. We provide expert evaluation and treatment in identifying the aetiology and preventing recurrence of stones.