As we strive to improve the outcomes for paediatric patients through the use of an ever increasing number of available dialysis based therapies, it is important to ensure that treatment can be tailored to meet the specific needs of each individual client.

This paper sights two recent experiences at the Women’s and Children’s Hospital (South Australia), where the knowledge and understanding of sound paediatric management and therapy principles have been applied using newly available technology to improve patient outcome.

A brief overview of the regimes used in both cases will be presented highlighting the ability to now perform

• Single Needle Haemodiafiltration in conjunction with Blood Volume Monitoring for paediatric patients in the Chronic Dialysis Setting.
• Combined Hemodialysis and Haemodiafiltration therapy over a 24 hour period using volumetric bicarbonate based technology for acute patients in the Intensive Care Setting.

Through these experiences we have shown that improved serum phosphate levels, ultrafiltration control and electrolyte normalisation can be achieved using novel approaches to paediatric hemodialysis therapy.

Clinicians should embrace the possible changes technology can support to the therapy they offer patients. This does not require a move away from the principles they trust just a reinvention of how these are applied to achieve a common goal.