Low-volume peritoneal dialysis in 116 neonatal and paediatric critical care patients

Golej, Johann; Kitzmueller, Erwin; Hermon, Michael; Boigner, Harald; Burda, Gudrun; Trittenwein, Gerhard

doi:10.1007/s00431-002-0919-7

Cited by 48 publications

(18 citation statements)

References 18 publications

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“…In infants with poor cardiac output, bowel perfusion is insufficient to permit adequate dialysis exchange. The capillary permeability of the peritoneal membrane is increased in infants with sepsis; this may lead to more rapid solute removal, but may decrease the ultrafiltration [11][12][13][14]. In patients undergoing PD, we have to estimate the individual peritoneal equilibration rate for optimal dialysis; however, recurrent blood and dialysate sampling can put small infants at additional risk.…”

Section: Discussionmentioning

confidence: 99%

Acute peritoneal dialysis in very low birth weight neonates using a vascular catheter

Park

Pai

2010

Pediatr Nephrol

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We report on our experience with acute peritoneal dialysis (APD) in 16 very low birth weight neonates ranging from 24.6 to 30.2 weeks' gestation with a birth weight ranging from 630 g to 1,430 g using a 14-gauge Arrow vascular catheter for APD access. The underlying causes of acute renal failure were: sepsis (7), necrotizing enterocolitis (4), patent ductus arteriosus (3), hydrops fetalis (1), intracranial hemorrhage (3), pulmonary hemorrhage (2), pneumonia (1), and perinatal asphyxia (1). Among 12 patients, the APD was successful for the control of hyperkalemia, fluid overload, and metabolic acidosis. The peritoneal permeability and transport were at their maximum at a short dwell time with rapid exchanges. Complications associated with the APD were: peritonitis (2), leakage (2), hemoperitoneum (1), and hernia (1). During the dialysis, four patients died; there were three episodes of catheter-related complications in these patients. At 60 days after the withdrawal of the APD, 10 patients were alive, and had full recovery of their renal function. Therefore, APD in premature neonates with a 14-gauge Arrow vascular catheter was safe and effective. This procedure helped manage the hemodynamic and metabolic imbalance of acute renal failure and was associated with few complications.

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Section: Discussionmentioning

confidence: 99%

Acute peritoneal dialysis in very low birth weight neonates using a vascular catheter

Park

Pai

2010

Pediatr Nephrol

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“…The higher mortality rate of our study may be due to our NICU being the only tertiary-level NICU in the southeastern part of the country, where all complicated cases with metabolic diseases, congenital heart defects, and high-risk pregnancies are admitted. Mortality in children suffering from multiorgan system failure was reported to have increased to 60%-70%, regardless of the type of renal replacement therapy performed (25). Therefore, the mortality rate of 71.4% found in our patients suffering from the above-mentioned diseases seems fairly acceptable.…”

Section: Discussionmentioning

confidence: 82%

Peritoneal Dialysis in Neonates: Six Years Single Centre Experince

Özlü¹,

Yapıcıoğlu²,

Seker³

et al. 2018

Turk J Med Sci

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Background/aim: Peritoneal dialysis (PD) is generally considered the practical dialysis modality for neonates in the treatment of acute kidney injury (AKI) and metabolic disturbances. The aim of this study was to evaluate the indications, complications, and outcomes of PD between January 2011 and December 2016. Materials and methods:This study included all 56 neonates that underwent PD over six years in our neonatal intensive care unit (NICU). A retrospective chart review was performed for all patients in our institution. Results:The incidence of PD was 1.32% (56/4230 patients) during this period. Mean birth weight of the patients was 2267.77 ± 1060.63 (540-5050) g. Thirty-four (60.7%) patients were premature. Fourteen patients (25%) were in the postoperative period of cardiac surgery due to congenital cardiac defects, fourteen patients (25%) were diagnosed with metabolic diseases, one patient had hypoxic ischemic encephalopathy, and another patient had severe pulmonary hypertension. Conclusion:In the acute setting of a neonatal intensive care unit, PD performed in a neonate provides a technically simple method of steady fluid, solute removal, and correction of electrolyte abnormalities. A trocar catheter appears safe even in premature babies, and closed three-way stopcock system seems to be reliable at the bedside in NICUs.

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“…8,9 It has been demonstrated that the use of the low-volume peritoneal dialysis technique (10 mL/kg cycled each hour) and a short indwelling time may have attributed to a low peritoneal irritation and caused less acute hemodynamic disturbances. 8,15,16 In their study, Morris et al found that cardiac index was significantly higher with 10 mL/kg than when the abdomen was empty or contained a larger volume. 17 We also used similar peritoneal dialysis schedule.…”

Section: Discussionmentioning

confidence: 96%

Peritoneal dialysis requirements following open-heart surgery in children with congenital heart disease

et al. 2010

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Low-volume peritoneal dialysis in 116 neonatal and paediatric critical care patients

Abstract: early installation of low-volume peritoneal dialysis offers a safe and adequate ultrafiltration procedure for paediatric critical care patients suffering from minor oliguria and fluid overload.

Cited by 48 publications

References 18 publications

Acute peritoneal dialysis in very low birth weight neonates using a vascular catheter

Acute peritoneal dialysis in very low birth weight neonates using a vascular catheter

Peritoneal Dialysis in Neonates: Six Years Single Centre Experince

Peritoneal dialysis requirements following open-heart surgery in children with congenital heart disease

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