Acute peritoneal dialysis in neonatal intensive care unit: An 8-year experience of a referral hospital

Kara, Aslihan; Gürgöze, Metin Kaya; Aydın, Mustafa; Taşkın, Erdal; Bakal, Ünal; Orman, Ayşen

doi:10.1016/j.pedneo.2017.11.008

Cited by 34 publications

(58 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, to date, there is no guideline-based evidence regarding the indications and methods of RRT for premature infants. If renal failure has not been resolved despite medical treatments, the timing and method of dialysis are selected on the basis of the decision of the primary care physician [ 8 , 20 , 21 ]. As a result, the prognosis of premature infants with AKI treated with RRT is expected to change.…”

Section: Discussionmentioning

confidence: 99%

“…Some complications associated with PD in premature infants include mechanical dysfunctions, such as dialysate leakage and catheter obstruction requiring revision or reinsertion, intraperitoneal hemorrhage, and bowel perforation [ 17 , 20 , 32 ]. Peritoneal fluid leakage around the PD catheter and along the tunnel is a serious problem that can increase the risk of bacterial and fungal peritonitis [ 21 , 33 ]. In this study, the complications observed in relation to PD were mainly caused by catheter-related dialysate leakage, which was resolved after adjustment of the dwell volume or reinsertion of the catheter on the other side.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Challenges of acute peritoneal dialysis in extremely-low-birth-weight infants: a retrospective cohort study

et al. 2020

View full text Add to dashboard Cite

Background Peritoneal dialysis (PD) has been used occasionally in extremely-low-birth-weight (ELBW) infants with acute kidney injury (AKI). This study aimed to evaluate the clinical characteristics and outcomes of ELBW infants with AKI treated with PD. Methods In this retrospective cohort study, the medical records of ELBW infants with AKI, who underwent PD from January 2008 to February 2018, were reviewed. A PD catheter (7.5–9.0 Fr) or central venous catheter (4 Fr) was used for the peritoneal access. Treatment with PD solutions (2.5 or 4.25%) was started at 10 mL/kg, which was increased to 20–30 mL/kg for 60–120 min/cycle continuing for 24 h. Results Twelve ELBW infants (seven male and five female infants) were treated, and their mean (±SD) gestational age and birth weight were 27.2 (±3.3) weeks and 706.5 (±220.5) g, respectively. Two patients had severe perinatal asphyxia (5-min Apgar score ≤ 3). The most important indication for starting PD was AKI due to sepsis. The average (±SD) duration of PD was 9.4 (± 7.7) days. The potassium levels in the ELBW infants with hyperkalemia decreased from 6.8 to 5.0 mg/mL after 9.3 (± 4.4) days. The most common complication of PD was mechanical dysfunction of the catheters, such as dialysate leakage (75%). Two patients were successful weaned off PD. The mortality rate of the infants treated with PD was 91.7%. Conclusions In this series, the mortality rate of ELBW infants with AKI treated with PD was relatively high because of their incompletely developed organ systems. Therefore, the use of PD should be carefully considered for the treatment of ELBW infants with AKI in terms of decisions regarding resuscitation.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Challenges of acute peritoneal dialysis in extremely-low-birth-weight infants: a retrospective cohort study

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Some complications associated with PD in premature infants include mechanical dysfunctions, such as dialysate leakage and catheter obstruction requiring revision or reinsertion, intraperitoneal hemorrhage, and bowel perforation [17,20,29]. Peritoneal fluid leakage around the PD catheter and along the tunnel is a serious problem that can increase the risk of bacterial and fungal peritonitis [21,30]. In this study, the complications observed in relation to PD were mainly caused by catheterrelated dialysate leakage, which was resolved after adjustment of the dwell volume or reinsertion of the catheter on the other side.…”

Section: Discussionmentioning

confidence: 99%

Effect of Peritoneal Dialysis on Extremely Low Birth Weight Infants: A Retrospective Cohort Study

Noh

Kim

Jung³

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Peritoneal dialysis (PD) has been used occasionally in extremely-low-birth-weight (ELBW) infants with acute kidney injury (AKI). This study aimed to evaluate the clinical characteristics and outcomes of ELBW infants with AKI treated with PD.Methods: In this retrospective cohort study, the medical records of ELBW infants with AKI, who underwent PD from January 2008 to February 2018, were reviewed. A PD catheter (7.5–9.0 Fr) or central venous catheter (4 Fr) was used for the peritoneal access. Treatment with PD solutions (2.5 or 4.25%) was started at 10 mL/kg, which was increased to 20–30 mL/kg for 60–120 min/cycle continuing for 24 hours.Results: Twelve ELBW infants (seven male and five female infants) were treated, and their mean gestational age and birth weight were 27.2 (±3.3) weeks and 706.5 (±220.5) g, respectively. There were two patients who had severe perinatal asphyxia (5-min Apgar score ≤3). The most important indication for starting PD was AKI due to sepsis. The average duration of PD was 9.4 (±7.7) days. The potassium levels in the ELBW infants with hyperkalemia decreased from 6.8 to 5.0 mg/mL after 9.3 (±4.4) days. The most common complication of PD was mechanical dysfunction of the catheters, such as dialysate leakage (75%). Two patients were successful weaned off PD. The mortality rate of the infants treated with PD was 91.7%.Conclusions: The mortality rate of ELBW infants with AKI treated with PD is quite high because their organ system is not completely developed. Therefore, the use of PD should be carefully considered for the treatment of ELBW infants with AKI.

show abstract

“…Los baños de diálisis deben realizarse con permanencias cortas (de 30 a 60 min) y con bajos volúmenes de infusión (de 10 a 30 ml/kg). 13 Dado que estos niños tienen función renal normal, durante la diálisis continua, debe chequearse el medio interno para evitar su alteración. n…”

Section: Discussionunclassified

Diálisis peritoneal en un neonato con enfermedad de la orina con olor a jarabe de arce. A propósito de un caso

2020

Arch Argent Pediat

View full text Add to dashboard Cite

Presentación de casos clínicos RESUMEN La enfermedad de jarabe de arce es una entidad autosómica recesiva producida por un error congénito en el metabolismo de tres aminoácidos esenciales de cadena ramificada: valina, leucina e isoleucina. La forma neonatal de esta enfermedad se manifiesta por un cuadro de compromiso neurológico grave y progresivo, asociado a un olor peculiar de la orina, consecuencia de la eliminación del exceso de estos aminoácidos. Este olor a azúcar quemada remeda a la melaza obtenida de los arces, lo que da nombre a esta enfermedad. El mejor método para eliminar estos tóxicos es la hemodiafiltración, pero, en los centros en los que esta práctica no es posible, la diálisis peritoneal constituye una alternativa. Se presenta a un recién nacido con leucinosis, con compromiso grave del sistema nervioso central, en quien la diálisis peritoneal fue de utilidad para superar la descompensación metabólica.

show abstract

Acute peritoneal dialysis in neonatal intensive care unit: An 8-year experience of a referral hospital

Cited by 34 publications

References 23 publications

Challenges of acute peritoneal dialysis in extremely-low-birth-weight infants: a retrospective cohort study

Challenges of acute peritoneal dialysis in extremely-low-birth-weight infants: a retrospective cohort study

Effect of Peritoneal Dialysis on Extremely Low Birth Weight Infants: A Retrospective Cohort Study

Diálisis peritoneal en un neonato con enfermedad de la orina con olor a jarabe de arce. A propósito de un caso

Contact Info

Product

Resources

About