Ascites in infants with severe sepsis – treatment with peritoneal drainage

Piotrowski, Andrzej; Sobala, Wojciech; Krajewski, Paweł; Fendler, Wojciech; Dąbrowska-Wójciak, Iwona

doi:10.1111/j.1460-9592.2006.01961.x

Cited by 3 publications

(2 citation statements)

References 14 publications

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“…The use of peritoneal drainage for the management of fluid overload following cardiac surgery in newborns is commonly used in practice but data have not been published. One study had reported a positive impact on fluid balance in the treatment of patient with ascitis [9]. In the present case, when comparing the week preceding and following the removal of the peritoneal drain, we noted that the urine output was similar, but that the fluid balance could only be improved with the help of the peritoneal drain.…”

Section: Discussionsupporting

confidence: 50%

Draining Fluids through a Peritoneal Catheter in Newborns after Cardiac Surgery Helps to Control Fluid Balance

Ruano

Jouvet

Vobecky

et al. 2010

Case Reports in Medicine

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Fluid overload, a common complication following cardiac surgery in infants is often difficult to manage. Dialysis can be used in severe cases, but may not be well tolerated. In such patients, peritoneal drainage could be an alternative option for fluid removal. We report the case of a newborn with a truncus arteriosus who developed postoperatively a complicated clinical course with right ventricular dysfunction, prerenal condition as well as fluid overload despite diuretic therapy. Dialysis was indicated for fluid removal. Peritoneal dialysis was started using a surgically placed Tenckhoff catheter and stopped due to inefficacy and leaks and no other modalities of dialysis were used. However, the catheter was left in place over a period of two months for fluid drainage and removed because of unexplained fever. In order to determine the effect of peritoneal drainage, we selected a period of one week before and one week after the removal of the drain to compare daily clinical data, urine electrolytes and renal function and found a positive effect on fluid balance control. We conclude that the fluid removal by continuous peritoneal drainage is a simple and safe alternative that can be used to control fluid balance in infants after cardiac surgery.

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Section: Discussionsupporting

confidence: 50%

Draining Fluids through a Peritoneal Catheter in Newborns after Cardiac Surgery Helps to Control Fluid Balance

Ruano

Jouvet

Vobecky

et al. 2010

Case Reports in Medicine

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“…Children with sepsis in pediatric intensive care unit (PICU) are mostly complicated with underlying diseases and multiple organ dysfunction. Pleural or peritoneal effusions are common symptom of infectious diseases in children ( Karnsakul et al., 2017 ) and can lead to a poor prognosis and even death ( Piotrowski et al., 2006 ; Khan et al., 2009 ; Kookoolis et al., 2014 ). The formation mechanism of pleural and peritoneal effusion is complex, and whether it is secondary to infection is difficult to determine, and the detection of causative agents remains the gold standard.…”

Section: Introductionmentioning

confidence: 99%

The value of next-generation metagenomic sequencing in pathogen detection of pleural effusions and ascites from children with sepsis

Liu

Wang²,

Li³

et al. 2023

Front. Cell. Infect. Microbiol.

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ObjectiveTo investigate the diagnostic value of metagenomic next-generation sequencing (mNGS) using pleural effusion and ascites from children with sepsis.MethodsIn this study, children with sepsis or severe sepsis and appeared pleural or peritoneal effusions were enrolled, of whom the pleural effusions or ascites and blood samples were conducted pathogen detection using both conventional and mNGS methods. The samples were divided into pathogen-consistent and pathogen-inconsistent groups based on the consistency of mNGS results from different sample types, and into exudate and transudate groups based on their pleural effusion and ascites properties. The pathogen positive rates, pathogen spectrum, consistency between different sample types, and clinical diagnosis consistency were compared between mNGS and conventional pathogen tests.ResultsA total of 42 pleural effusions or ascites and 50 other type samples were collected from 32 children. The pathogen positive rate of the mNGS test was significantly higher than that of traditional methods (78.57% vs. 14.29%, P < 0.001) in pleural effusion and ascites samples, with a consistent rate of 66.67% between the two methods. Nearly 78.79% (26/33) of mNGS positive results of the pleural effusions and ascites samples were consistent with clinical evaluation, and 81.82% (27/33) of these positive samples reported 1-3 pathogens. The pathogen-consistent group outperformed the pathogen-inconsistent group in terms of consistency with respect to clinical evaluation (88.46% vs. 57.14%, P = 0.093), while there was no significant difference between the exudate and transudate groups (66.67% vs. 50.00%, P = 0.483).ConclusionCompared to conventional methods, mNGS has great advantages in pathogen detection of pleural effusion and ascites samples. Moreover, consistent results of mNGS tests with different sample types provide more reference values in clinical diagnosis.

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Postoperative reintubation after planned extubation: A review of 137,866 general anesthetics from 2005 to 2007 in a Medical Center of Taiwan

Ting

Chou

Yang

et al. 2010

Acta Anaesthesiologica Taiwanica

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Ascites in infants with severe sepsis – treatment with peritoneal drainage

Abstract: Ascites can develop in infants with sepsis and cause respiratory compromise. Continuous drainage of ascitic fluid by means of an intravenous catheter is relatively safe and can improve gas exchange.

Cited by 3 publications

References 14 publications

Draining Fluids through a Peritoneal Catheter in Newborns after Cardiac Surgery Helps to Control Fluid Balance

Draining Fluids through a Peritoneal Catheter in Newborns after Cardiac Surgery Helps to Control Fluid Balance

The value of next-generation metagenomic sequencing in pathogen detection of pleural effusions and ascites from children with sepsis

Postoperative reintubation after planned extubation: A review of 137,866 general anesthetics from 2005 to 2007 in a Medical Center of Taiwan

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