Dialysing Paediatric patients. How does an adult nephrologist copes

Many adult-trained nephrologists in developing countries have to face the daunting task of dialysing paediatric patients. This may be due to insufficient work load to justify the presence of paedictaric-trained nephrologists, inadequate training opportunities or healthcare infrastructure. Even in developed countries, adult-trained personnels may have to look after patients that do not have the emans to travel to larger centres where paeditric nephrology expertise exists.A child is not a small adult. It is not just about treating a smaller physical version of an adult. This article provides an insight on how an adult-trained nephrologist copes with the different challenges that arise from the management of paediatric patients.