Peritoneal dialysis in the very low‐birth‐weight neonate (less than 1000 g)

Sizun, Jacques; Giroux, J. D.; Rubio, Saida Palou; Guillois, B.; Alix, D; Parscau, L. De

doi:10.1111/j.1651-2227.1993.tb12729.x

Cited by 19 publications

(13 citation statements)

References 8 publications

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“…The biochemical parameters of our patients were compatible with intrinsic renal failure with acute tubular necrosis (ATN), and the overall mortality rate was 37.5%, which is lower than has been reported in prior reviews [3,4,6,10,11]. In conclusion, early APD was performed successfully even in very small neonates.…”

Section: Discussionsupporting

confidence: 50%

“…However, mortality is still high in preterm infants with oliguric ARF. In addition, abnormalities in the glomerular filtration and tubular function can persist in infants following acute kidney injury [4,6,10,11].…”

Section: Discussionmentioning

confidence: 99%

“…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%

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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: Discussionsupporting

confidence: 50%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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

Park

Pai

2010

Pediatr Nephrol

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“…For infants weighing less than 2500 grams, PD remains the renal replacement of choice and acute PD has been successful in premature infants weighing < 1000 grams (55). Despite the increasing use of new CRRT methods in intensive care units to treat children with ARF, peritoneal dialysis remains an efficient, useful and simple method (9,54,56,57), especially in small children with difficult vascular access.…”

Section: Peritoneal Dialysis In the Pediatric Icumentioning

confidence: 99%

“…In a peritoneal membrane with average transport characteristics, the percentage of urea concentration in the drained dialysate is expected to be 55% or 90% of the plasma concentration at 1-hour and 4-hour exchanges respectively, (dialysate to plasma ratio at 1-hour and 4-hours equals approximately 0. 55 Usually in order to increase solute clearances, it is better to increase the volume per exchange, maintaining the dwell and diffusion times, rather than to increase the number of exchanges with shorter dwell time, unless the patient has high peritoneal transport characteristics. A fill volume of 2.5L seems to give an average-size individual maximal peritoneal transport and a volume of 3.0 L suits patients with BSA greater than 2.0 m 2 (60).…”

Section: Length Of Session and Dose In Acute Peritoneal Dialysismentioning

confidence: 99%

Peritoneal Dialysis in Acute Renal Failure

Passadakis

2003

Int J Artif Organs

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Peritoneal dialysis for the management of pediatric patients with acute kidney injury

2016

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Renal replacement therapy (RRT) is the most important supportive measure used in the management of acute kidney injury (AKI). Peritoneal dialysis (PD) is a safe, simple and inexpensive procedure and has been used in pediatric AKI patients, ranging from neonates to adolescents. It is the modality of choice for RRT in developing countries with cost constraints and limited resources. However, its use has declined with the availability of newer types of extracorporeal modalities for RRT in the developed world. Much controversy exists regarding the dosing and adequacy of PD in the management of AKI. Data in infants and children have shown that PD can provide adequate clearance, ultrafiltration and correction of metabolic abnormalities even in those who are critically ill. Although there are no prospective studies in children, data from retrospective studies reveal no differences in mortality rates between different modalities of RRT. In this review, we discuss the advantages and limitations of PD, indications for acute PD, strategies to improve the efficiency of acute PD and outcomes of PD in children with AKI.

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Peritoneal dialysis in the very low‐birth‐weight neonate (less than 1000 g)

Cited by 19 publications

References 8 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 Acute Renal Failure

Peritoneal dialysis for the management of pediatric patients with acute kidney injury

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