BACKGROUND: Nutrition plays a vital role in the outcome of critically ill children, particularly those with AKI. Currently, there are no established guidelines for children with AKI treated with continuous RRT (CRRT). A thorough understanding of the metabolic changes and nutritional challenges in AKI and CRRT is required. Our objective was to create clinical practice points for nutritional assessment and management in critically ill children with AKI receiving CRRT. METHODS: PubMed, MEDLINE, Cochrane, and Embase databases were searched for articles related to the topic. Expertise of the authors and a consensus of the workgroup were additional sources of data in the article. Available articles on nutrition therapy in pediatric patients receiving CRRT through January 2023. RESULTS: On the basis of the literature review, the current evidence base was examined by a panel of experts in pediatric nephrology and nutrition. The panel used the literature review as well as their expertise to formulate clinical practice points. The modified Delphi method was used to identify and refine clinical practice points. CONCLUSIONS: Forty-four clinical practice points are provided on nutrition assessment, determining energy needs, and nutrient intake in children with AKI and on CRRT on the basis of the existing literature and expert opinions of a multidisciplinary panel.

Akron Children's Hospital Akron Ohio

Akron Nephrology Associates Cleveland Clinic Akron General Medical Center Akron Ohio

Children's Healthcare of Atlanta Atlanta Georgia

Children's Hospital of Philadelphia University of Pennsylvania School of Nursing Philadelphia Pennsylvania

Department of Medicine University of Tennessee at Knoxville Knoxville Tennessee

Department of Pediatric Nephrology Kidney Institute Medanta The Medicity Gurgaon India

Department of Pediatrics 2nd Faculty of Medicine Charles University Prague and Motol University Hospital Prague Czech Republic

Department of Pediatrics Childrens Hospital of Richmond Virginia Commonwealth University Richmond Virginia

Department of Pediatrics Division of Pediatric Nephrology Le Bonheur Children's and St Jude Children's Research Hospitals University of Tennessee Health Science Center Memphis Tennessee

Department of Pediatrics Yong Loo Lin School of Medicine National University of Singapore Singapore

Division of Nephrology and Dialysis Department of Pediatrics Bambino Gesù Children's Hospital and Research Institute Rome Italy

Division of Pediatric Nephrology East Tennessee Children's Hospital Knoxville Tennessee

ECU Health Greenville North Carolina

Johns Hopkins Bayview Medical Center Baltimore Maryland

Nell Hodgson Woodruff School of Nursing Emory University Atlanta Georgia

Pediatrics Department College of Medicine King Saud University Riyadh Kingdom of Saudi Arabia

Section of Pediatric Nephrology Children's Hospital Colorado University of Colorado Aurora Colorado

UCL Department of Renal Medicine Royal Free Hospital University College London London United Kingdom

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