We surveyed 123 pediatric nephrologists to investigate the current dialytic
management of acute renal failure (ARF) in children. Data collected from 9
2 responding physicians revealed that hemodialysis (HD), peritoneal dialysi
s (PD), and continuous renal replace ment therapy (CRRT) are currently used
as the primary means of acute renal replacement therapy in a nearly equal
percentage of centers. The preferential use of CRRT appears to be increasin
g, while PD usage is decreasing except for the youngest infants and those p
atients likely to develop end-stage renal disease (ESRD). Additional data c
orrelating patient outcome to dialytic modality should be collected to comp
are the efficacy of the three techniques.