Neonatal acute kidney injury — case

Case summary

A 3-day-old, 26-week, 750-gram male infant is ventilated for respiratory distress syndrome and on indomethacin for a haemodynamically significant patent ductus arteriosus. His serum creatinine has risen from 0.9 mg/dL on day 1 to 1.5 mg/dL on day 3, and his urine output is 0.5 mL/kg/h. His potassium is 5.8 mmol/L. The parents are anxious about his kidney function and whether there will be long-term consequences. ^[1]