Hemodialysis can seem intimidating at first, but understanding the core principles makes it much easier to approach at the bedside. In this episode, we break down how pediatric hemodialysis works using simple analogies while exploring the clinical concepts every pediatric trainee should know.

Topics include diffusion, ultrafiltration, convection, the dialyzer, vascular access, dialysis adequacy (Kt/V), common complications, and practical bedside pearls for caring for children receiving chronic hemodialysis.

Selected References:

• KDIGO 2024 Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease.

• KDOQI Clinical Practice Guideline for Vascular Access (2019 Update).

• European Society for Paediatric Nephrology (ESPN) Clinical Practice Recommendations for Hemodialysis in Children.

• CONVINCE Trial Investigators. High-Dose Hemodiafiltration versus High-Flux Hemodialysis. New England Journal of Medicine. 2025.

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Disclaimer: Kidney Kids is an educational podcast for medical students, pediatric residents, pediatric nephrology fellows, advanced practice providers, and practicing clinicians. The conversations use AI-generated voices portraying fictional physicians. This content is intended for educational purposes only and should not replace clinical judgment, institutional protocols, or consultation with qualified healthcare professionals.