Acute peritoneal dialysis in infants weighing &lt;1500 g

Steele, Brian T.; Vigneux, Annette; Blatz, Susan; Flavin, Michael P.; Paes, B

doi:10.1016/s0022-3476(87)80306-2

Cited by 34 publications

(13 citation statements)

References 7 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%

“…Several PD access catheters have been used in small infants [6][7][8][9]. However, these catheters have been used for short periods and no standard method has been developed.…”

Section: Discussionmentioning

confidence: 99%

“…Peritoneal dialysis (PD) is preferred to hemodialysis in premature patients. This is because PD itself is a simple procedure and can be performed in hemodynamically unstable patients [3][4][5][6]. However, it is difficult to find available dialysis catheters for premature neonates due to their small size and inelastic abdominal wall.…”

Section: Introductionmentioning

confidence: 99%

“…However, it is difficult to find available dialysis catheters for premature neonates due to their small size and inelastic abdominal wall. To minimize the complications associated with PD access, a number of catheters have been tried in small infants including a chest tube and vascular catheter [6][7][8][9]. However, there is limited information on the outcome of PD in premature neonates.…”

Section: Introductionmentioning

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%

“…Several PD access catheters have been used in small infants [6][7][8][9]. However, these catheters have been used for short periods and no standard method has been developed.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%